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Arthroscopic image of a central triangular fibrocartilage complex (TFCC) tear. X-ray: X-rays of the wrist are made in two directions: posterior-anterior (PA) and lateral. Radiographs are useful to diagnose or rule out possible bone fractures, a positive ulnar variance or osteoarthritis. The TFCC is not visible on an X-ray, regardless of its ...
Both stages of TFCC tears are treatable with an arthroscopic intervention, although the degenerative stage is operated according to the "Arthroscopic wafer procedure". [3] In this procedure, the surgeon debrides the TFCC and a limited part of the ulnar head. If the patient has a Class 1 TFCC tear, a different arthroscopic technique is used.
The TFCC is a cartilage and ligament complex in the wrist that is important for stability and function. If torn, it can result in pain, catching and instability.
There is an increased risk of interosseous intercarpal injury if the ulnar variance (the difference in height between the distal end of the ulna and the distal end of the radius) is more than 2mm and there is fracture into the wrist joint. [5] Triangular fibrocartilage complex (TFCC) injury occurs in 39% to 82% of cases.
If hyaline cartilage is torn all the way down to the bone, the blood supply from inside the bone is sometimes enough to start some healing inside the lesion. In cases like this, the body will form a scar in the area using a special type of cartilage called fibrocartilage. [2]
Chondrocalcinosis can be visualized on projectional radiography, CT scan, MRI, ultrasound, and nuclear medicine. [1] CT scans and MRIs show calcific masses (usually within the ligamentum flavum or joint capsule), however radiography is more successful. [1]
The needle is radiographically guided into the glenohumeral joint space, after which the patient is evaluated by fluoroscopy, CT or MRI. The gadolinium in the contrast fluid yields a bright signal on T1 weighted images allowing for better evaluation of the joint capsule , the articular surface of the bones and, in particular, the labral cartilage.
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