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Triangular Fibrocartilage Complex Injury
Kambiz Motamedi, MD, FACR; Carol L. Andrews, MD; Donna G. Blankenbaker, MD, FACR
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KEY FACTS

  • Imaging

    • Pathology

      • Clinical Issues

        TERMINOLOGY

        • Abbreviations

          • Triangular fibrocartilage (TFC)
          • TFC complex (TFCC)
        • Definitions

          • Complete TFC tear: communicating defect between radiocarpal joint and distal radioulnar joint (DRUJ)
          • Partial TFC tear: noncommunicating defect

        IMAGING

        • General Features

          • Radiographic Findings

            • Fluoroscopic Findings

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Imaging Recommendations

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          • Relevant Anatomy

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      Selected References

                                      1. Daun M et al: Magnetic resonance imaging of the triangular fibrocartilage complex. Top Magn Reson Imaging. 29(5):237-44, 2020
                                      2. Taljanovic MS et al: US of the intrinsic and extrinsic wrist ligaments and triangular fibrocartilage complex--normal anatomy and imaging technique. Radiographics. 31(1):e44, 2011
                                      3. De Filippo M et al: MDCT arthrography of the wrist: diagnostic accuracy and indications. Eur J Radiol. 74(1):221-5, 2010
                                      4. Watanabe A et al: Ulnar-sided wrist pain. II. Clinical imaging and treatment. Skeletal Radiol. 39(9):837-57, 2010
                                      5. Buck FM et al: Ulnomeniscal homologue of the wrist: correlation of anatomic and MR imaging findings. Radiology. 253(3):771-9, 2009
                                      6. Moser T et al: Multidetector CT arthrography of the wrist joint: how to do it. Radiographics. 28(3):787-800; quiz 911, 2008
                                      7. Rüegger C et al: Peripheral tear of the triangular fibrocartilage: depiction with MR arthrography of the distal radioulnar joint. AJR Am J Roentgenol. 188(1):187-92, 2007
                                      8. Rettig AC: Athletic injuries of the wrist and hand: part II: overuse injuries of the wrist and traumatic injuries to the hand. Am J Sports Med. 32(1):262-73, 2004
                                      9. Haims AH et al: Internal derangement of the wrist: indirect MR arthrography versus unenhanced MR imaging. Radiology. 227(3):701-7, 2003
                                      10. Zanetti M et al: Characteristics of triangular fibrocartilage defects in symptomatic and contralateral asymptomatic wrists. Radiology. 216(3):840-5, 2000
                                      11. Oneson SR et al: MR imaging diagnosis of triangular fibrocartilage pathology with arthroscopic correlation. AJR Am J Roentgenol. 168(6):1513-8, 1997
                                      12. Totterman SM et al: Lesions of the triangular fibrocartilage complex: MR findings with a three-dimensional gradient-recalled-echo sequence. Radiology. 199(1):227-32, 1996
                                      13. Palmer AK: Triangular fibrocartilage complex lesions: a classification. J Hand Surg Am. 14(4):594-606, 1989
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Imaging

                                        • Pathology

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Abbreviations

                                              • Triangular fibrocartilage (TFC)
                                              • TFC complex (TFCC)
                                            • Definitions

                                              • Complete TFC tear: communicating defect between radiocarpal joint and distal radioulnar joint (DRUJ)
                                              • Partial TFC tear: noncommunicating defect

                                            IMAGING

                                            • General Features

                                              • Radiographic Findings

                                                • Fluoroscopic Findings

                                                  • CT Findings

                                                    • MR Findings

                                                      • Ultrasonographic Findings

                                                        • Imaging Recommendations

                                                          PATHOLOGY

                                                          • General Features

                                                            • Staging, Grading, & Classification

                                                              • Relevant Anatomy

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          Selected References

                                                                          1. Daun M et al: Magnetic resonance imaging of the triangular fibrocartilage complex. Top Magn Reson Imaging. 29(5):237-44, 2020
                                                                          2. Taljanovic MS et al: US of the intrinsic and extrinsic wrist ligaments and triangular fibrocartilage complex--normal anatomy and imaging technique. Radiographics. 31(1):e44, 2011
                                                                          3. De Filippo M et al: MDCT arthrography of the wrist: diagnostic accuracy and indications. Eur J Radiol. 74(1):221-5, 2010
                                                                          4. Watanabe A et al: Ulnar-sided wrist pain. II. Clinical imaging and treatment. Skeletal Radiol. 39(9):837-57, 2010
                                                                          5. Buck FM et al: Ulnomeniscal homologue of the wrist: correlation of anatomic and MR imaging findings. Radiology. 253(3):771-9, 2009
                                                                          6. Moser T et al: Multidetector CT arthrography of the wrist joint: how to do it. Radiographics. 28(3):787-800; quiz 911, 2008
                                                                          7. Rüegger C et al: Peripheral tear of the triangular fibrocartilage: depiction with MR arthrography of the distal radioulnar joint. AJR Am J Roentgenol. 188(1):187-92, 2007
                                                                          8. Rettig AC: Athletic injuries of the wrist and hand: part II: overuse injuries of the wrist and traumatic injuries to the hand. Am J Sports Med. 32(1):262-73, 2004
                                                                          9. Haims AH et al: Internal derangement of the wrist: indirect MR arthrography versus unenhanced MR imaging. Radiology. 227(3):701-7, 2003
                                                                          10. Zanetti M et al: Characteristics of triangular fibrocartilage defects in symptomatic and contralateral asymptomatic wrists. Radiology. 216(3):840-5, 2000
                                                                          11. Oneson SR et al: MR imaging diagnosis of triangular fibrocartilage pathology with arthroscopic correlation. AJR Am J Roentgenol. 168(6):1513-8, 1997
                                                                          12. Totterman SM et al: Lesions of the triangular fibrocartilage complex: MR findings with a three-dimensional gradient-recalled-echo sequence. Radiology. 199(1):227-32, 1996
                                                                          13. Palmer AK: Triangular fibrocartilage complex lesions: a classification. J Hand Surg Am. 14(4):594-606, 1989