Failed Triangular Fibrocartilage Complex Repair and Reconstruction - 01/10/21

Doi : 10.1016/j.hcl.2021.06.003

Remy V. Rabinovich, MD ^a,^⁎ , David S. Zelouf, MD ^b
^a New York Hand and Wrist Center – Northwell Health, 210 East 64th Street, 5th Floor, New York, NY 10065, USA
^b Philadelphia Hand to Shoulder Center and Thomas Jefferson University Hospitals, 834 Chestnut Street, Suite G-114, Philadelphia, PA 19107, USA

^∗Corresponding author.

Resumen

Unsuccessful triangular fibrocartilage complex (TFCC) repair or reconstruction is poorly defined, often stemming from multiple causes, both patient and surgeon-related. Complete evaluation of the patient’s psychosocial status and involvement in any litigation claims is essential, as is a thorough history, physical examination, and imaging workup to accurately diagnose TFCC injury, along with any concomitant wrist pathology. Awareness of common complications and technical errors is critical, and preventive treatment strategies should be implemented to minimize these events.

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Keywords : Failed TFCC, Revision wrist arthroscopy, Ulnar-sided wrist pain, DRUJ