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J Wrist Surg
DOI: 10.1055/a-2637-2967
Scientific Article

Outcomes of an All-Arthroscopic Technique of Anatomical Repair of Complete Foveal Tears of the Triangular Fibrocartilage Complex

Zachary Chu 
1   Yong Loo Lin School of Medicine, National University of Singapore, Singapore
,
Vincentius Edward Lie
2   Department of Orthopaedic Surgery, Sengkang General Hospital, Sengkang, Singapore
,
Muntasir Mannan Choudhury 
2   Department of Orthopaedic Surgery, Sengkang General Hospital, Sengkang, Singapore
› Author Affiliations
Funding None.
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Abstract

Background

Foveal tears of the triangular fibrocartilage complex (TFCC) present challenges for hand and wrist surgeons due to their impact on wrist stability and function. This study aims to evaluate the safety and effectiveness of a modified 3-portal all-arthroscopic technique using a bony anchor.

Materials and Methods

A retrospective review of 19 consecutive TFCC tear repairs was conducted. Patients with ulnar-sided wrist pain and confirmed TFCC tears underwent surgery by a single surgeon. Clinical data, surgical techniques, and outcomes were analyzed.

Results

The majority of patients experienced significant improvements in pain, grip strength, and range of motion following surgery. The technique showed improvements in pain relief (74% reported no pain), grip strength restoration (mean restoration of 93%), and range of motion(mean restoration of 97%). Utilizing the modified Mayo wrist score, 12 patients (63%) achieved excellent outcomes, 6 patients (32%) attained good outcomes, and 1 patient (5%) had satisfactory outcomes.

Conclusion

This modified 3-portal arthroscopic TFCC repair technique using a bony anchor technique can effectively alleviate symptoms and improve wrist function in patients with TFCC tears.

Level of Evidence

Level IV

Keywords

triangular fibrocartilage complex - arthroscopic repair - foveal tears - wrist stability - bony anchor

Author's Contributions

Z.C. was responsible for manuscript writing. V.E.L. was responsible for editing and proofreading. M.M.C. was responsible for research conception and proofreading.




Publication History

Received: 09 December 2024

Accepted: 16 June 2025

Article published online:
01 July 2025

© 2025. Thieme. All rights reserved.

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