title: Bucket-handle tear of the triangular fibrocartilage complex: case report of a complex peripheral injury with separation of the distal radioulnar ligaments from the articular disc.
abstract: Palmer previously proposed a classification system of triangular fibrocartilage complex (TFCC) injuries that proved to be useful in directing clinical management. However, dorsal peripheral tears (variants of class 1C) were not described and have rarely been reported in the literature since. We herewith present a rare case of bucket-handle tear of the TFCC. To our knowledge, this is the first case demonstrating partial separation of both the palmar and dorsal distal radioulnar ligaments (DRULs) from the articular disc. The particular wrist magnetic resonance (MR) arthrographic findings of this unusual complex peripheral TFCC tear (a variant of both class 1B and 1C) were nicely appreciated upon sagittal reformatted images.
authors.affiliation: Department of Diagnostic and Interventional Radiology, Centre Hospitalier Universitaire Vaudois, University of Lausanne, Rue du Bugnon 46, 1011 Lausanne, Switzerland.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Theumann
authors.forename: Ehab M
authors.initials: EM
authors.lastname: Kamel
authors.forename: Christof
authors.initials: C
authors.lastname: Bollmann
authors.forename: Michael
authors.initials: M
authors.lastname: Sturzenegger
authors.forename: Fabio
authors.initials: F
authors.lastname: Becce
mesh_terms: D000328:Adult; D001182:Arthroscopy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D017211:Treatment Failure; D051478:Triangular Fibrocartilage / Q000293:injuries* / Q000601:surgery; D014954:Wrist Injuries / Q000175:diagnosis* / Q000601:surgery