MRI findings in bucket-handle tears of the triangular fibrocartilage complex.

Abstract:

:The triangular fibrocartilage complex (TFCC) is an intricate ligamentous and cartilaginous structure that helps transmit axial load across the wrist, and provide stability to the ulnocarpal and distal radioulnar joints (DRUJ). Because the blood supply to the TFCC varies depending on location, certain types of tears are more amenable to surgical repair than others. Since Palmer proposed his classification system of TFCC tears in 1989, only 1 case of a "bucket-handle" type tear has been reported. In this article, we describe two new cases of bucket-handle tears of the TFCC. In both cases, the torn fragment was displaced into a previously undescribed location (intra-articular DRUJ and prestyloid recess). Because this type of injury pattern has not been previously well characterized in the literature and such cases rarely reported, MRI findings have not been fully described and its implications on clinical management have largely yet to be determined.

journal_name

Skeletal Radiol

journal_title

Skeletal radiology

authors

Jose J,Arizpe A,Barrera CM,Ezuddin NS,Chen D

doi

10.1007/s00256-017-2796-1

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

419-424

issue

3

eissn

0364-2348

issn

1432-2161

pii

10.1007/s00256-017-2796-1

journal_volume

47

pub_type

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