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Journal of Nippon Medical School

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-Short Communication-

Quick Arthroscopic Repair of Ulnar-Sided Triangular Fibrocartilage Complex Tears: Technical Note

Yuji Tomori, Mitsuhiko Nanno and Shinro Takai

Department of Orthopedic Surgery, Nippon Medical School Hospital, Tokyo, Japan


Triangular fibrocartilage complex (TFCC) tears can cause ulnar-sided wrist pain. Arthroscopy is important in treatment and diagnosis, and arthroscopic repair of TFCC tears is indicated after failure of nonsurgical treatments such as cast immobilization, splinting, and administration of nonsteroidal anti-inflammatory drugs for more than 3 months. Several arthroscopic procedures have been described, including inside-out, outside-in, and all-arthroscopic techniques. However, these arthroscopic procedures are time-consuming and technically demanding. This article presents a straightforward technique of arthroscopic inside-out repair that uses double-loop sutures for ulnar-sided TFCC tears.

J Nippon Med Sch 2020; 87: 104-108

Keywords
triangular fibrocartilage complex, ulnar-sided tear, TFCC 1B tear, arthroscopic repair technique, inside-out suture, technical note

Correspondence to
Yuji Tomori, MD, PhD, Department of Orthopedic Surgery, Nippon Medical School Hospital, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
s4064@nms.ac.jp

Received, November 25, 2019
Accepted, January 21, 2020