DRUJ/TFCC Injuries and Treatment-Arthroscopic Management of TFCC Injury

Video Transcription

Video Summary

In this video, the speaker discusses the management of tears in the triangular fibrocartilage complex (TFCC) of the wrist. The TFCC is a common cause of ulnar-sided wrist pain. The speaker begins by discussing the different types of TFCC tears, including central, peripheral, volar, and radial tears. Nonoperative management is initially recommended, with immobilization and corticosteroid injections as treatment options. Surgical intervention, either debridement or repair, may be necessary based on the tear location. The speaker discusses different repair techniques, including the outside-in repair and a new all-inside repair using a pre-tied suture device. The all-inside repair technique is shown in a video demonstration. The speaker also discusses the importance of considering DRJ (distal radioulnar joint) stability when deciding on repair techniques. The video concludes with the speaker emphasizing the benefits of the all-inside repair technique, including ease of use, lack of prominent suture knots, and shorter immobilization times. The speaker encourages further research and feedback.

Keywords

triangular fibrocartilage complex

TFCC tears

ulnar-sided wrist pain

nonoperative management

surgical intervention