The triangular fibrocartilaginous complex TFCC can be a source of chronic wrist pain. Dr. Dennis Lox at the Florida Spine Center has been treating patients pain. B9781437707052000309_f21-02-97814377070521.jpg' alt='Tfcc Ligament Tear Repair' title='Tfcc Ligament Tear Repair' />The clinical presentation is consistent with DRUJ arthritis in a heavy laborer. Of the options listed, ulnar hemiresection arthroplasty with concurrent TFCC. Designed to address the needs of wrist surgeons performing triangular fibrocartilage complex TFCC repair, the TFCC FASTFIX Kit from Smith Nephew unites. Ulnocarpal Abutment Syndrome Hand. The clinical presentation is consistent with DRUJ arthritis in a heavy laborer. Of the options listed, ulnar hemiresection arthroplasty with concurrent TFCC reconstruction or repair would be the most appropriate treatment. While there are multiple treatment options, the ulnar hemiresection arthroplasty with concurrent TFCC reconstruction or repair is considered most appropriate in heavy laborers, as it would likely resolve the pain and enable them to return to work sooner. The TFCC should be intact when performing an ulnar hemiresection arthroplasty to prevent distal ulna instability with forearm rotation. One could also consider performing a Suave Kapandji procedure. This procedure creates a distal radioulnar fusion and an ulnar pseudarthrosis proximal to the fusion site through which rotation can occur. The advantage is that the ulnocarpal joint is not sacrificed, and a stable wrist is created. Scheker et al reported on the outcome of ulnar shortening performed on 3. DRUJ. The postoperative wrist ratings were 73. Figure A is a radiograph showing significant DRUJ arthritis. Illustration A shows ulnar hemiresection arthroplasty. Illustration B shows a Darrach procedure. Illustration C shows a Sauve Kapandji procedure. Illustration D is a treatment schematic of TFCC reconstruction. Incorrect Answers. Answer 1 There is no obvious ulnar styloid non union. Answer 2 As mentioned in Millers review text, the Darrach procedure is typically reserved for low demand, elderly patients and may lead to painful proximal ulna stump instability. Answer 3 Complete ulnar head resection is not indicated. Answer 5 TFCC reconstruction will not improve or treat the DRUJ arthritic changes. Tfcc Ligament Tear Repair' title='Tfcc Ligament Tear Repair' />TFCC tear explained. The triangular fibrocartilage complex consists of The triangular fibrocartilage disc. Ulna meniscus. Ulnar collateral ligament. There are many types of surgeries for nerve repair in the hand. The type of surgery that you receive depends on many factors including the degree of injury and the. Peter Magnussen Mr Peter Magnussen, MB, BS, MSc Orth, FRCS Consultant Orthopaedic Surgeon. Secretary Heather 01483 207260. Mr Peter Magnussen is one of the most. CASE REPORT A Nonsurgical Intervention for Triangular Fibrocartilage Complex Tears The weight bearing test is the best way to know if you have a tfcc tear Th. A disease that is characterized by profound immune system suppression and associated with opportunistic infections, secondary neoplasms, and neurologic manifestations. Doctors and patients often use the words meniscus tear and cartilage tear interchangeably. Fear Perseus Mandate Update Patch here. But do these words mean the same thing The TFCC is a constellation of many structures. The Triangular Fibrocartilage Complex TFC or TFCC is a very common source of pain on the ulnar small finger side.