The status of triangular fibrocartilage complex after the union of distal radius fractures with internal plate fixation
- 135 Downloads
Distal radius fractures are associated with a high incidence of triangular fibrocartilage complex (TFCC) tears. This study aims to evaluate the status of TFCC after the healing of distal radius fractures, and its clinical significance.
Wrist arthroscopies were performed on 43 distal radius fractures, with an average age of 54 years old.
Twenty-six complete tears and 15 partial healed tears were noted. Five out of eight patients with intact TFCC tears had neither signs nor symptoms, while eight patients with TFCC tears had no complaint. While no association was found between ulnar wrist pain and TFCC tears, there was association between DRUJ instability and TFCC tears and fovea tears. The function outcome did not differ with respect to the integrity of TFCC.
A large majority of TFCC tears remained unhealed after the union of distal radius fractures. However, not all patients with tear were symptomatic.
KeywordsDistal radius fractures Triangular fibrocartilage complex Distal radial ulnar instability Surgery Wrist pain Wrist arthroscopy
This study does not receive any financial support from any company/government body.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval details
This study has received approval from the University of Hong Kong/Hospital Authority Western Cluster Institutional Review Board.
All the case illustration, images and figures given do not contain any identifiable patient information.
- 2.Lindau T, Arner M, Hagberg L (1997) Intraarticular lesions in distal fractures of the radius in young adults. A descriptive arthroscopic study in 50 patients. J Hand Surg Br 22: 638–643Google Scholar
- 4.Lindau T, Adlercreutz C, Aspenberg P (2000) Peripheral tears of the triangular fibrocartilage complex cause distal radioulnar joint instability after distal radial fractures. J Hand Surg Am 25: 464–468Google Scholar
- 9.Medoff RJ (2006) Fragment specific fixation of distal radius fractures. Atlas. Hand Clin 11:163–174Google Scholar