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Arch Hand Microsurg > Volume 19(2); 2014 > Article
Journal of the Korean Society for Surgery of the Hand 2014;19(2):95-102.
Published online June 30, 2014.
DOI: https://doi.org/10.12790/jkssh.2014.19.2.95   
Surgical Techniques for Repairing Foveal Tear of the Triangular Fibrocartilage Complex: Arthroscopic Transosseous Repair
Jong Woong Park
Department of Orthopedic Surgery, Korea University College of Medicine, Seoul, Korea. ospark@korea.ac.kr
Received: 12 May 2014   • Accepted: 5 June 2014
Abstract
As the importance of the foveal attachment of the triangular fibrocartilage complex (TFCC) on the stability of the distal radioulnar joint (DRUJ) is emphasized, the traditional repair techniques such as arthroscopic capsular repair for the 1B TFCC tear become accepted as ineffective method for treating DRUJ instability. Recently, several techniques which repair the TFCC directly to the ulnar fovea have been developed and introduced. Further advances of the techniques will be expected with increasing knowledge of the anatomy and biomechanics of the TFCC and DRUJ. Regardless of the techniques, fundamental principle of anatomical repair of the TFCC to the ulnar fovea is utmost important. Herein we present our technique of arthroscopic transosseous repair by making a drill hole in the ulnar and securing the sutures with Pushlock anchors.
 


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