Complications after arthroscopic triangular fibrocartilage complex (TFCC) surgery.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declaration of conflicting interestsThe authors declare no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. 7. Hand Surg Rehabil. 2017 Oct;36(5):305-313. doi: 10.1016/j.hansur.2017.08.001. Epub 2017 Aug 31. Distal radioulnar joint instability. Marès O(1). Author information: (1)Service de chirurgie orthopédique Pr-Kouyoumdjian, CHU de Nîmes, avenue du Pr-Debré, 30000 Nîmes, France. Electronic address: olivier.mares@chu-nimes.fr. Distal radioulnar joint (DRUJ) instability is a rare but disabling problem. Surgical treatment remains a challenge. The advent of arthroscopic techniques has helped to rebuild the triangular fibrocartilaginous complex (TFCC), especially its deep part. However, isolated TFCC damage is not responsible for instability. Its repair is sometimes not sufficient to restore DRUJ stability, or the chronicity of the injury prevents its direct repair. Open surgical procedures still have a role in these cases. They require a detailed knowledge of the various stabilizers of the DRUJ. Passive and active stabilizers other than the TFCC include the bones, joint capsule, oblique distal bundle of the interosseous membrane and the extensor carpi ulnaris. The objective of this review was to analyze current anatomical and biomechanical data on DRUJ stability. Different arthroscopic and open repair techniques for these structures will be reviewed. Lastly, a decision tree will be presented that can be used to better plan the management of this complex entity, because most of these injuries often occur in combination in RUD instability cases. Copyright © 2017 SFCM. Published by Elsevier Masson SAS. All rights reserved. DOI: 10.1016/j.hansur.2017.08.001