CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2023; 33(01): 129-131
DOI: 10.1055/s-0042-1759484
Case Report

It Is Not Only the Meniscus That Flips—A Case of TFCC Tear with a Flipped Fragment in the Distal Radioulnar Joint

Aakanksha Agarwal
1   Department of Radiology, University of British Columbia, St. Paul's Hospital, Vancouver, Canada
Abhishek Chandra
2   Department of Orthopedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
Timothy Murray
1   Department of Radiology, University of British Columbia, St. Paul's Hospital, Vancouver, Canada
1   Department of Radiology, University of British Columbia, St. Paul's Hospital, Vancouver, Canada
› Author Affiliations


Acute wrist injuries with ongoing ulnar-sided wrist pain warrant a magnetic resonance imaging (MRI) to diagnose ligamentous injuries. Triangular fibrocartilage complex (TFCC) tears have been classified and described in the literature but complex tear patterns have limited representation. Bucket-handle tears of the TFCC represent only 0.5% of TFCC tears and have recently been identified, posing a diagnostic and management challenge. Preoperative diagnosis is possible with MRI and necessary for optimal and early surgical management. The authors describe a unique case of a flipped tear of the central disc of the TFCC, where the fragment was flipped into the distal radioulnar joint, a site hidden during routine arthroscopy.

Publication History

Article published online:
07 December 2022

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