The Carpal Detachment Syndrome

  • Shinji Nishikawa
  • Satoshi Toh


We investigated the distal attachments of the TFCC to the ulnar carpal bones. It was found that in 7 % of cases, the triquetrum is covered by capsular tissue and not exposed into the joint. Detachment of that tissue causes impingement and ulnar pain. Arthroscopic debridement is curative. In our experience, up to 25 % of patients have this condition.


Articular Surface Cartilage Defect Triamcinolone Acetonide Carpal Bone Ulnar Collateral Ligament 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Garcia-Elias M (1998) Soft-tissue anatomy and relationships about the ulna. Hand Clin 14:165–176PubMedGoogle Scholar
  2. 2.
    Hogikyan JV, Louis DS (1992) Embryologic development and variations in the anatomy of the ulnocarpal ligamentous complex. J Hand Surg 17A:719–723Google Scholar
  3. 3.
    Lewis OJ, Hamshere RJ, Bucknill TM (1970) Anatomy of the wrist joint. J Anat 106:539–552PubMedGoogle Scholar
  4. 4.
    Nishikawa S, Toh S (2002) Anatomical study of carpal attachment of triangular fibrocartilage complex. J Bone Joint Surg 84B:1062–1065CrossRefGoogle Scholar
  5. 5.
    Nishikawa S, Toh S, Miura H et al (2002) The carpal detachment injury of the triangular fibrocartilage complex. J Hand Surg 27B:86–89Google Scholar
  6. 6.
    Ono H, Gilula LA, Marzke MW et al (1996) Bicompartmentalization of the radiocarpal joint. J Hand Surg 21A:789–793Google Scholar
  7. 7.
    Palmer AK, Werner FW, Eng MM (1981) The triangular fibrocartilage complex of the wrist. Anatomy and function. J Hand Surg 6:153–162Google Scholar
  8. 8.
    Watson HK, Weinzweig J (1999) Triquetral impingement ligament tear (TILT). J Hand Surg 24-B:321–324Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Nishikawa Orthopaedic Surgery and Hand Surgery Clinic, Department of Orthopaedic SurgeryHirosaki University School of MedicineAomoriJapan
  2. 2.Department of Orthopaedic SurgeryHirosaki University School of MedicineAomoriJapan

Personalised recommendations