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The Carpal Detachment Syndrome

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Abstract

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.

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References

  1. Garcia-Elias M (1998) Soft-tissue anatomy and relationships about the ulna. Hand Clin 14:165–176

    PubMed  CAS  Google Scholar 

  2. Hogikyan JV, Louis DS (1992) Embryologic development and variations in the anatomy of the ulnocarpal ligamentous complex. J Hand Surg 17A:719–723

    Google Scholar 

  3. Lewis OJ, Hamshere RJ, Bucknill TM (1970) Anatomy of the wrist joint. J Anat 106:539–552

    PubMed  CAS  Google Scholar 

  4. Nishikawa S, Toh S (2002) Anatomical study of carpal attachment of triangular fibrocartilage complex. J Bone Joint Surg 84B:1062–1065

    Article  Google Scholar 

  5. Nishikawa S, Toh S, Miura H et al (2002) The carpal detachment injury of the triangular fibrocartilage complex. J Hand Surg 27B:86–89

    Google Scholar 

  6. Ono H, Gilula LA, Marzke MW et al (1996) Bicompartmentalization of the radiocarpal joint. J Hand Surg 21A:789–793

    Google Scholar 

  7. Palmer AK, Werner FW, Eng MM (1981) The triangular fibrocartilage complex of the wrist. Anatomy and function. J Hand Surg 6:153–162

    CAS  Google Scholar 

  8. Watson HK, Weinzweig J (1999) Triquetral impingement ligament tear (TILT). J Hand Surg 24-B:321–324

    Google Scholar 

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Correspondence to Shinji Nishikawa M.D. .

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© 2012 Springer-Verlag Berlin Heidelberg

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Nishikawa, S., Toh, S. (2012). The Carpal Detachment Syndrome. In: del Piñal, F. (eds) Arthroscopic Management of Ulnar Pain. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-30544-3_12

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  • DOI: https://doi.org/10.1007/978-3-642-30544-3_12

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-30543-6

  • Online ISBN: 978-3-642-30544-3

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