Ulnar Wrist Pain Revisited: Ultrasound Diagnosis and Guided Injection for Triangular Fibrocartilage Complex Injuries
The triangular fibrocartilage complex (TFCC) serves as the major stabilizer of the wrist. Its injuries can result from trauma or degeneration, both of which are strongly correlated with the loading stress on the ulnar shaft and carpal joints. The TFCC is made of the articular disc, meniscus homologu...
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doaj-1e562e992fb642ad8e1029754b8f7d5c2020-11-25T02:03:11ZengMDPI AGJournal of Clinical Medicine2077-03832019-09-01810154010.3390/jcm8101540jcm8101540Ulnar Wrist Pain Revisited: Ultrasound Diagnosis and Guided Injection for Triangular Fibrocartilage Complex InjuriesWei-Ting Wu0Ke-Vin Chang1Kamal Mezian2Ondřej Naňka3Yi-Chiang Yang4Yu-Chun Hsu5Po-Cheng Hsu6Levent Özçakar7Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei 10845, TaiwanDepartment of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei 10845, TaiwanDepartment of Rehabilitation Medicine, Charles University, First Faculty of Medicine, 12800 Prague, Czech RepublicInstitute of Anatomy, Charles University, First Faculty of Medicine, 12800 Prague, Czech RepublicDepartment of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei 11217, TaiwanDepartment of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei 11217, TaiwanDepartment of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei 10845, TaiwanDepartment of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara 06100, TurkeyThe triangular fibrocartilage complex (TFCC) serves as the major stabilizer of the wrist. Its injuries can result from trauma or degeneration, both of which are strongly correlated with the loading stress on the ulnar shaft and carpal joints. The TFCC is made of the articular disc, meniscus homologue, ulnocarpal ligament, radioulnar ligament, ulnotriquetral ligament, ulnolunate ligament, and subsheath of the extensor carpi ulnaris tendon. Because of its complexity, it is challenging to confirm the exact component affected in TFCC injuries. The Palmer classification is widely used for investigation of TFCC lesions using magnetic resonance imaging. Recently, high-resolution ultrasound (US) has become more popular in diagnosing musculoskeletal disorders. However, the utility of US imaging in TFCC lesions is less common because its anatomy under US imaging is not described in the current literature. Accordingly, in this review, we aimed to propose a standard US scanning protocol for the TFCC, present relevant images for its pathologies, and illustrate appropriate US-guided injection techniques for their management.https://www.mdpi.com/2077-0383/8/10/1540triangular fibrocartilage complexwristultrasoundmagnetic resonance imaging |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Wei-Ting Wu Ke-Vin Chang Kamal Mezian Ondřej Naňka Yi-Chiang Yang Yu-Chun Hsu Po-Cheng Hsu Levent Özçakar |
spellingShingle |
Wei-Ting Wu Ke-Vin Chang Kamal Mezian Ondřej Naňka Yi-Chiang Yang Yu-Chun Hsu Po-Cheng Hsu Levent Özçakar Ulnar Wrist Pain Revisited: Ultrasound Diagnosis and Guided Injection for Triangular Fibrocartilage Complex Injuries Journal of Clinical Medicine triangular fibrocartilage complex wrist ultrasound magnetic resonance imaging |
author_facet |
Wei-Ting Wu Ke-Vin Chang Kamal Mezian Ondřej Naňka Yi-Chiang Yang Yu-Chun Hsu Po-Cheng Hsu Levent Özçakar |
author_sort |
Wei-Ting Wu |
title |
Ulnar Wrist Pain Revisited: Ultrasound Diagnosis and Guided Injection for Triangular Fibrocartilage Complex Injuries |
title_short |
Ulnar Wrist Pain Revisited: Ultrasound Diagnosis and Guided Injection for Triangular Fibrocartilage Complex Injuries |
title_full |
Ulnar Wrist Pain Revisited: Ultrasound Diagnosis and Guided Injection for Triangular Fibrocartilage Complex Injuries |
title_fullStr |
Ulnar Wrist Pain Revisited: Ultrasound Diagnosis and Guided Injection for Triangular Fibrocartilage Complex Injuries |
title_full_unstemmed |
Ulnar Wrist Pain Revisited: Ultrasound Diagnosis and Guided Injection for Triangular Fibrocartilage Complex Injuries |
title_sort |
ulnar wrist pain revisited: ultrasound diagnosis and guided injection for triangular fibrocartilage complex injuries |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2019-09-01 |
description |
The triangular fibrocartilage complex (TFCC) serves as the major stabilizer of the wrist. Its injuries can result from trauma or degeneration, both of which are strongly correlated with the loading stress on the ulnar shaft and carpal joints. The TFCC is made of the articular disc, meniscus homologue, ulnocarpal ligament, radioulnar ligament, ulnotriquetral ligament, ulnolunate ligament, and subsheath of the extensor carpi ulnaris tendon. Because of its complexity, it is challenging to confirm the exact component affected in TFCC injuries. The Palmer classification is widely used for investigation of TFCC lesions using magnetic resonance imaging. Recently, high-resolution ultrasound (US) has become more popular in diagnosing musculoskeletal disorders. However, the utility of US imaging in TFCC lesions is less common because its anatomy under US imaging is not described in the current literature. Accordingly, in this review, we aimed to propose a standard US scanning protocol for the TFCC, present relevant images for its pathologies, and illustrate appropriate US-guided injection techniques for their management. |
topic |
triangular fibrocartilage complex wrist ultrasound magnetic resonance imaging |
url |
https://www.mdpi.com/2077-0383/8/10/1540 |
work_keys_str_mv |
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