It Is Not Only the Meniscus That Flips—A Case of TFCC Tear with a Flipped Fragment in the Distal Radioulnar Joint

Acute wrist injuries with ongoing ulnar-sided wrist pain warrant a magnetic resonance imaging (MRI) to diagnose ligamentous injuries. Triangular fibrocartilage complex (TFCC) tears have been classified and described in the literature but complex tear patterns have limited representation. Bucket-hand...

Descripción completa

Detalles Bibliográficos
Autores principales: Agarwal, Aakanksha, Chandra, Abhishek, Murray, Timothy, Cresswell, Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9968545/
https://www.ncbi.nlm.nih.gov/pubmed/36855712
http://dx.doi.org/10.1055/s-0042-1759484
_version_ 1784897526681305088
author Agarwal, Aakanksha
Chandra, Abhishek
Murray, Timothy
Cresswell, Mark
author_facet Agarwal, Aakanksha
Chandra, Abhishek
Murray, Timothy
Cresswell, Mark
author_sort Agarwal, Aakanksha
collection PubMed
description Acute wrist injuries with ongoing ulnar-sided wrist pain warrant a magnetic resonance imaging (MRI) to diagnose ligamentous injuries. Triangular fibrocartilage complex (TFCC) tears have been classified and described in the literature but complex tear patterns have limited representation. Bucket-handle tears of the TFCC represent only 0.5% of TFCC tears and have recently been identified, posing a diagnostic and management challenge. Preoperative diagnosis is possible with MRI and necessary for optimal and early surgical management. The authors describe a unique case of a flipped tear of the central disc of the TFCC, where the fragment was flipped into the distal radioulnar joint, a site hidden during routine arthroscopy.
format Online
Article
Text
id pubmed-9968545
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format MEDLINE/PubMed
spelling pubmed-99685452023-02-27 It Is Not Only the Meniscus That Flips—A Case of TFCC Tear with a Flipped Fragment in the Distal Radioulnar Joint Agarwal, Aakanksha Chandra, Abhishek Murray, Timothy Cresswell, Mark Indian J Radiol Imaging Acute wrist injuries with ongoing ulnar-sided wrist pain warrant a magnetic resonance imaging (MRI) to diagnose ligamentous injuries. Triangular fibrocartilage complex (TFCC) tears have been classified and described in the literature but complex tear patterns have limited representation. Bucket-handle tears of the TFCC represent only 0.5% of TFCC tears and have recently been identified, posing a diagnostic and management challenge. Preoperative diagnosis is possible with MRI and necessary for optimal and early surgical management. The authors describe a unique case of a flipped tear of the central disc of the TFCC, where the fragment was flipped into the distal radioulnar joint, a site hidden during routine arthroscopy. Thieme Medical and Scientific Publishers Pvt. Ltd. 2022-12-07 /pmc/articles/PMC9968545/ /pubmed/36855712 http://dx.doi.org/10.1055/s-0042-1759484 Text en Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Agarwal, Aakanksha
Chandra, Abhishek
Murray, Timothy
Cresswell, Mark
It Is Not Only the Meniscus That Flips—A Case of TFCC Tear with a Flipped Fragment in the Distal Radioulnar Joint
title It Is Not Only the Meniscus That Flips—A Case of TFCC Tear with a Flipped Fragment in the Distal Radioulnar Joint
title_full It Is Not Only the Meniscus That Flips—A Case of TFCC Tear with a Flipped Fragment in the Distal Radioulnar Joint
title_fullStr It Is Not Only the Meniscus That Flips—A Case of TFCC Tear with a Flipped Fragment in the Distal Radioulnar Joint
title_full_unstemmed It Is Not Only the Meniscus That Flips—A Case of TFCC Tear with a Flipped Fragment in the Distal Radioulnar Joint
title_short It Is Not Only the Meniscus That Flips—A Case of TFCC Tear with a Flipped Fragment in the Distal Radioulnar Joint
title_sort it is not only the meniscus that flips—a case of tfcc tear with a flipped fragment in the distal radioulnar joint
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9968545/
https://www.ncbi.nlm.nih.gov/pubmed/36855712
http://dx.doi.org/10.1055/s-0042-1759484
work_keys_str_mv AT agarwalaakanksha itisnotonlythemeniscusthatflipsacaseoftfcctearwithaflippedfragmentinthedistalradioulnarjoint
AT chandraabhishek itisnotonlythemeniscusthatflipsacaseoftfcctearwithaflippedfragmentinthedistalradioulnarjoint
AT murraytimothy itisnotonlythemeniscusthatflipsacaseoftfcctearwithaflippedfragmentinthedistalradioulnarjoint
AT cresswellmark itisnotonlythemeniscusthatflipsacaseoftfcctearwithaflippedfragmentinthedistalradioulnarjoint

Ejemplares similares