Arthroscopic Treatment of Bucket-Handle Triangular Fibrocartilage Complex Injury

Bucket-handle injury to the triangular fibrocartilage complex is a rare and poorly described condition in the literature that is not included in the Palmer classification. A young man presented with right wrist torsional trauma while playing sports. He progressed with local pain and limited range of...

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Bibliographic Details
Published in:Journal of hand surgery global online 2021-11, Vol.3 (6), p.352-355
Main Authors: Nakamoto, João Carlos, Martins, Marcela dos Santos, Pires, André Gustavo
Format: Article
Language:English
Subjects:
Bucket-handle tear
Case Report
Triangular fibrocartilage complex
Wrist arthroscopy
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Summary:Bucket-handle injury to the triangular fibrocartilage complex is a rare and poorly described condition in the literature that is not included in the Palmer classification. A young man presented with right wrist torsional trauma while playing sports. He progressed with local pain and limited range of motion with a supination block. Magnetic resonance imaging revealed a bucket-handle injury to the central portion of the triangular fibrocartilage complex with a volar flap, measuring 0.6 cm × 0.6 cm. The patient underwent wrist arthroscopy with debridement, removal of a loose body, and resection of the bucket-handle lesion. In the postoperative period, pain alleviation and a considerable gain in range of motion occurred. The patient was able to resume his participation in sporting activities 3 months after surgery. There is no consensus about the treatment of bucket-handle injuries to the triangular fibrocartilage complex because of the small number of cases described in the literature.
ISSN:2589-5141
2589-5141
DOI:10.1016/j.jhsg.2021.07.002