title: Arthroscopic treatment for ulnar-sided TFCC-tears.
abstract: OBJECTIVE
  Ruptures of ulnar-sided triangular fibrocartilaginous complex (TFCC) often occur in cases of trauma. Golden standard for diagnosis is the arthroscopy of the wrist. TFCC lesions are classified according to their location if traumatic in origin or if degenerative according to their severity.
  
  
  METHODS
  Recent literature has focused on the ruptures of ulnar-sided triangular fibrocartilaginous complex. This article describes conservative, operative and arthroscopic surgical techniques to reconstruct the triangular fibrocartilaginous complex and restore distal radioulnar joint stability.
  
  
  RESULTS
  The main therapeutic goal should be the stabilization of the DRUJ by reattachment of the torn ligaments in ulnar-sided ruptures to the deep fibers in the fovea. This reinsertion can be performed by transosseous suture, a suture anchor or open.
  
  
  CONCLUSIONS
  Central TFCC tears are typically located close to the sigmoid notch of the radius and are either traumatic or degenerative in origin. While central TFCC lesions are usually treated by arthroscopic debridement using small joint punches or a bipolar high frequency system, the ulnar TFCC avulsions can also be refixed arthroscopically in different techniques.
authors.affiliation: Department of Plastic Reconstructive and Hand Surgery, Hand Trauma Center (FESSH), Center of Severe Burns, BG Unfallklinik Duisburg GmbH, Duisburg, Germany. lijo.mannil@gmail.com.
authors.forename: L
authors.identifier: http://orcid.org/0000-0001-7451-9874
authors.initials: L
authors.lastname: Mannil
authors.affiliation: Department of Orthopaedic and Trauma Surgery, BG Unfallklinik Duisburg GmbH, Duisburg, Germany.
authors.forename: W
authors.initials: W
authors.lastname: Martin
authors.affiliation: Department of Orthopaedic and Trauma Surgery, BG Unfallklinik Duisburg GmbH, Duisburg, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Dahmen
authors.affiliation: Department of Plastic Reconstructive and Hand Surgery, Hand Trauma Center (FESSH), Center of Severe Burns, BG Unfallklinik Duisburg GmbH, Duisburg, Germany.
authors.forename: T
authors.initials: T
authors.lastname: Witte
authors.affiliation: Department of Plastic Reconstructive and Hand Surgery, Hand Trauma Center (FESSH), Center of Severe Burns, BG Unfallklinik Duisburg GmbH, Duisburg, Germany.
authors.forename: P G
authors.initials: PG
authors.lastname: Juten
authors.affiliation: Department of Plastic Reconstructive and Hand Surgery, Hand Trauma Center (FESSH), Center of Severe Burns, BG Unfallklinik Duisburg GmbH, Duisburg, Germany.
authors.forename: F
authors.initials: F
authors.lastname: Deneken
authors.affiliation: Department of Plastic Reconstructive and Hand Surgery, Hand Trauma Center (FESSH), Center of Severe Burns, BG Unfallklinik Duisburg GmbH, Duisburg, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Räder
authors.affiliation: Department of Plastic Reconstructive and Hand Surgery, Hand Trauma Center (FESSH), Center of Severe Burns, BG Unfallklinik Duisburg GmbH, Duisburg, Germany.
authors.forename: H H
authors.initials: HH
authors.lastname: Homann
mesh_terms: D001182:Arthroscopy; D003646:Debridement; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis / Q000601:surgery*; D053441:Suture Anchors; D051478:Triangular Fibrocartilage / Q000293:injuries* / Q000601:surgery; D014954:Wrist Injuries / Q000175:diagnosis / Q000601:surgery*; D014955:Wrist Joint
keywords: Arthroscopy of the wrist; TFCC lesions; Wrist pain