TFCC injuries: How we treat?

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Abstract

Conflict of interest statement: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. 2. Hand Clin. 2011 Aug;27(3):263-72. doi: 10.1016/j.hcl.2011.05.014. Foveal TFCC tear classification and treatment. Atzei A(1), Luchetti R. Author information: (1)Hand Surgery and Rehabilitation Team, Viale della Repubblica 10/B, 31050 Villorba (TV), Italy. andreatzei@libero.it During the last two decades, increased knowledge of functional anatomy and pathophysiology of the triangular fibrocartilage complex (TFCC) have contributed to a change in surgeons' perspective toward it. The earlier concept of the TFCC as the "hammock" structure of the ulnar carpus has updated to the "iceberg" concept, whereby the much larger "submerged" part represents the foveal insertions of the TFCC and functions as the stabilizer of the distal radioulnar joint and the ulnar carpus, thus lending it greater functional importance. This article presents an algorithm of the treatment of traumatic peripheral TFCC tear based on clinical, radiological, and arthroscopic findings. Copyright © 2011 Elsevier Inc. All rights reserved. DOI: 10.1016/j.hcl.2011.05.014