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J Wrist Surg 2024; 13(01): 058-065
DOI: 10.1055/s-0042-1751017
Procedure

All-Arthroscopic Foveal Triangular Fibrocartilage Complex Tendon Reconstruction

Camelia Q. Y. Tang 
1   Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore
,
Jackson K. H. Jiang
1   Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore
2   Department of Orthopaedic Surgery, Sengkang General Hospital, Singapore
3   Singhealth Duke-NUS Musculoskeletal Sciences Academic Clinical Programme, Singapore
,
Andrew Y. H. Chin
1   Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore
3   Singhealth Duke-NUS Musculoskeletal Sciences Academic Clinical Programme, Singapore
,
Muntasir M. Choudhury
1   Department of Hand and Reconstructive Microsurgery, Singapore General Hospital, Singapore
2   Department of Orthopaedic Surgery, Sengkang General Hospital, Singapore
3   Singhealth Duke-NUS Musculoskeletal Sciences Academic Clinical Programme, Singapore
› Author Affiliations Funding None.
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Abstract

Background In symptomatic chronic injury of ulnar-sided tear of the triangular fibrocartilage complex, reconstruction techniques involving foveal reconstruction with palmaris longus tendon graft using the method described by Bain have been described with good outcomes.

Description of Technique With increasing popularity of wrist arthroscopy to address various wrist pathologies, we present our technique of arthroscopic foveal reconstruction. We also include a step-by-step description of the procedure with illustrations, with aims to aid surgeons in executing it

Conclusion Unlike other arthroscopic techniques described, this involves single osseous ulnar tunnel and performed completely arthroscopically, allowing an end result similar to Bain's open technique.

Keywords

wrist arthroscopy - triangular fibrocartilage complex - foveal reconstruction - DRUJ instability - distal radioulnar joint

Note

This work was performed in Sengkang General Hospital, Singapore.




Publication History

Received: 08 February 2022

Accepted: 17 May 2022

Article published online:
06 July 2022

© 2022. Thieme. All rights reserved.

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