{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T23:01:02Z","timestamp":1790290862807,"version":"4.1.0"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Distal radioulnar joint (DRUJ) instability is a common yet underdiagnosed cause of ulnar-sided wrist pain, often associated with triangular fibrocartilage complex (TFCC) injuries. Clinical assessment of DRUJ instability is challenging due to the limited reliability of existing tests. This study introduces the wind off test (WOT) as a novel clinical test for detecting TFCC tears and evaluates its diagnostic accuracy compared to arthroscopic findings.<\/jats:p>\n                  <jats:p>A retrospective audit was conducted on patients who underwent diagnostic wrist arthroscopy over 12 months. The WOT result (positive or negative) was compared with arthroscopically confirmed TFCC tears. Sensitivity, specificity, positive predictive value (PPV), negative predictive value, and diagnostic accuracy were calculated. Patients without a recorded WOT result preoperatively were excluded.<\/jats:p>\n                  <jats:p>79 patients met the inclusion criteria for this study. Of these, 76 had a TFCC tear confirmed at arthroscopy. The WOT demonstrated a sensitivity of 92.1%, a specificity of 0.0%, a PPV of 95.9%, and a diagnostic accuracy of 88.6%. Notably, all patients without a TFCC tear had a positive WOT, resulting in no true negatives.<\/jats:p>\n                  <jats:p>The WOT is a highly sensitive test for detecting TFCC tears but lacks specificity, leading to false positives. While the test may serve as a useful screening tool, it should be interpreted alongside other clinical findings, imaging studies, and arthroscopy when necessary. Further prospective studies are needed to assess interobserver reliability and compare the WOT with existing clinical tests for TFCC tears.<\/jats:p>","DOI":"10.1055\/a-2716-3822","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:10:59Z","timestamp":1761696659000},"page":"444-446","source":"Crossref","is-referenced-by-count":2,"title":["The Wind Off Test: A Novel Clinical Test for TFCC Tears"],"prefix":"10.1055","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9478-6675","authenticated-orcid":false,"given":"Zoe","family":"Jones","sequence":"additional","affiliation":[{"name":"Raise Your Hands Ltd, Claremont, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9965-0540","authenticated-orcid":false,"given":"Jeff","family":"Ecker","sequence":"additional","affiliation":[{"name":"Raise Your Hands Ltd, Claremont, Western Australia, Australia"},{"name":"Jeff Ecker Clinic, Bethesda Hospital, Claremont, Western Australia, Australia"},{"name":"Wrist\u2009+\u2009Hand Institute, Claremont, Western Australia, Australia"},{"name":"Hand and Upper Limb Centre, Claremont, Western Australia, Australia"},{"name":"Faculty of Health Sciences, Curtin University, Kent Street, Bentley, Western Australia, Australia"},{"name":"Faculty of Medicine and Dentistry, The University of Western Australia, Crawley, Western Australia, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,10,28]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1177\/2151458515584050","article-title":"Distal radioulnar joint instability","volume":"6","author":"A R Mirghasemi","year":"2015","journal-title":"Geriatr Orthop Surg Rehabil"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"204","DOI":"10.2174\/1874325001206010204","article-title":"Clinical and non-clinical aspects of distal radioulnar joint instability","volume":"6","author":"M Wijffels","year":"2012","journal-title":"Open Orthop J"},{"issue":"03","key":"ref3","first-page":"137","article-title":"[Instability of the distal radioulnar joint - an overview of clinical and radiological procedures regarding their efficacies]","volume":"46","author":"C K Spies","year":"2014","journal-title":"Handchir Mikrochir Plast Chir"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1186\/s12891-023-07140-z","article-title":"Diagnostic value of MRI in traumatic triangular fibrocartilage complex injuries: A retrospective study","volume":"25","author":"X Zhao","year":"2024","journal-title":"BMC Musculoskelet Disord"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1177\/17531934211054282","article-title":"The reliability of clinical assessment of distal radioulnar joint instability","volume":"47","author":"G T Pickering","year":"2022","journal-title":"J Hand Surg Eur Vol"},{"issue":"01","key":"ref6","first-page":"2","article-title":"Dry arthroscopy distal radioulnar joint and foveal insertion: Surgical technique","volume":"11","author":"J Ecker","year":"2021","journal-title":"J Wrist Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1552","DOI":"10.1136\/bmj.308.6943.1552","article-title":"Diagnostic tests. 1: Sensitivity and specificity","volume":"308","author":"D G Altman","year":"1994","journal-title":"BMJ"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"1123","DOI":"10.1002\/jor.23355","article-title":"Biomechanical study of distal radioulnar joint ballottement test","volume":"35","author":"T Onishi","year":"2017","journal-title":"J Orthop Res"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1016\/j.jhsa.2007.01.022","article-title":"The \u201culnar fovea sign\u201d for defining ulnar wrist pain: an analysis of sensitivity and specificity","volume":"32","author":"S C Tay","year":"2007","journal-title":"J Hand Surg Am"}],"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2716-3822.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:46:17Z","timestamp":1790289977000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2716-3822"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,28]]},"references-count":9,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2026,9,24]]},"published-print":{"date-parts":[[2026,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2716-3822","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"value":"2163-3916","type":"print"},{"value":"2163-3924","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,28]]}}}