{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T23:01:11Z","timestamp":1790290871869,"version":"4.1.0"},"reference-count":13,"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>Despite evolving understanding of triangular fibrocartilage complex (TFCC) anatomy, dorsal\u2013ulnar TFCC lesions remain underrecognized, with limited studies addressing this subset. This study presents our experience with dorsal\u2013ulnar TFCC lesions and provides a comprehensive analysis of their clinical presentation, imaging findings, and arthroscopic characteristics.<\/jats:p>\n                  <jats:p>We retrospectively reviewed the medical records of adult patients treated by a single senior surgeon across two metropolitan hospitals who underwent wrist arthroscopy for ulnar-sided wrist pain between February 2022 and August 2024. From this cohort, we included only those who had an arthroscopically assisted repair of a dorsal TFCC tear. Patients with a history of prior TFCC surgery were excluded. Clinical, radiological, and arthroscopic features were subsequently analyzed.<\/jats:p>\n                  <jats:p>During the study period, a total of 185 patients underwent wrist arthroscopy for ulnar-sided pain. Of these, 44 wrists from 42 patients were diagnosed with dorsal TFCC tears. The mean age at the time of surgery was 34.1 years (SD 11.7). The dominant hand was affected in 70.5% of cases. All patients reported ulnar-sided pain during prono-supination, and 86% had volar distal radioulnar joint (DRUJ) laxity. MRI reports accurately identified dorsal TFCC tears in 14% of cases. In 48% of cases, the MRI findings falsely reported no abnormalities in the TFCC. Arthroscopy revealed synovitis in 100% of cases. While the foveal hook test was negative in all of the patients, the dorsal hook test was positive in every case, serving as a consistent diagnostic feature. Associated scapholunate instability (European Wrist Arthroscopy Society 3B, 3C, or 4) was observed in 55% of patients.<\/jats:p>\n                  <jats:p>Patients presenting with persistent ulnar-sided wrist pain with negative MRI findings should still be offered arthroscopic evaluation, especially those who have volar laxity of the DRUJ on examination.<\/jats:p>","DOI":"10.1055\/a-2791-1415","type":"journal-article","created":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T23:46:49Z","timestamp":1770076009000},"page":"447-451","source":"Crossref","is-referenced-by-count":0,"title":["Clinical, Radiographical, and Arthroscopic Features of Dorsal Tears of the TFCC"],"prefix":"10.1055","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1198-8784","authenticated-orcid":false,"given":"Hong Swo","family":"Tan","sequence":"additional","affiliation":[{"name":"Orthopaedics Department, Norwest Private Hospital, Bella Vista, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Massard-Combe","sequence":"additional","affiliation":[{"name":"Specialty Orthopaedics Upper Limb Surgery Research Foundation, Bella Vista, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas Charles","family":"Smith","sequence":"additional","affiliation":[{"name":"Specialty Orthopaedics Upper Limb Surgery Research Foundation, Bella Vista, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,2,2]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/j.hcl.2011.05.014","article-title":"Foveal TFCC tear classification and treatment","volume":"27","author":"A Atzei","year":"2011","journal-title":"Hand Clin"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1016\/j.hcl.2017.06.005","article-title":"Arthroscopic management of triangular fibrocartilage complex peripheral injury","volume":"33","author":"J R Haugstvedt","year":"2017","journal-title":"Hand Clin"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/0363-5023(89)90174-3","article-title":"Triangular fibrocartilage complex lesions: A classification","volume":"14","author":"A K Palmer","year":"1989","journal-title":"J Hand Surg Am"},{"issue":"07","key":"ref4","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1016\/j.arthro.2007.01.026","article-title":"Arthroscopic repair of triangular fibrocartilage complex tears","volume":"23","author":"E P Estrella","year":"2007","journal-title":"Arthroscopy"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1055\/s-0035-1570037","article-title":"Dorsal tear of triangular fibrocartilage complex: Clinical features and treatment","volume":"5","author":"Y Abe","year":"2016","journal-title":"J Wrist Surg"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1177\/230949900901700224","article-title":"Arthroscopic repair of the triangular fibrocartilage complex using a hypodermic needle: A technical note","volume":"17","author":"R H Mahajan","year":"2009","journal-title":"J Orthop Surg (Hong Kong)"},{"key":"ref7","volume-title":"Atlas of Arthroscopy","author":"M Watanabe","year":"1978","edition":"3rd ed."},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1055\/a-2698-9750","article-title":"Midcarpal Ultra-wide Scapholunotriquetral Capsulo-ligamentoplasty (MUSCL) procedure","author":"E R Houghton","year":"2025","journal-title":"J Wrist Surg"},{"issue":"10","key":"ref9","doi-asserted-by":"crossref","first-page":"2014","DOI":"10.1016\/j.arthro.2015.04.090","article-title":"Efficacy of magnetic resonance imaging and clinical tests in diagnostics of wrist ligament injuries: A systematic review","volume":"31","author":"J K Andersson","year":"2015","journal-title":"Arthroscopy"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"1278","DOI":"10.2214\/AJR.06.0288","article-title":"Wrist ligament tears: evaluation of MRI and combined MDCT and MR arthrography","volume":"188","author":"T Moser","year":"2007","journal-title":"AJR Am J Roentgenol"},{"issue":"09","key":"ref11","doi-asserted-by":"crossref","first-page":"6322","DOI":"10.1007\/s00330-023-09698-7","article-title":"Interdisciplinary consensus statements on imaging of DRUJ instability and TFCC injuries","volume":"33","author":"L Cerezal","year":"2023","journal-title":"Eur Radiol"},{"issue":"08","key":"ref12","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.1007\/s00590-018-2215-x","article-title":"MR arthrography is slightly more accurate than conventional MRI in detecting TFCC lesions of the wrist","volume":"28","author":"B C Boer","year":"2018","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1007\/s12306-023-00787-w","article-title":"Combined repair of scapholunate ligament (SL) and triangular fibrocartilage complex (TFCC) lesions in chronic trauma of the wrist: surgical treatment of 14 patients","volume":"108","author":"N Della Rosa","year":"2024","journal-title":"Musculoskelet Surg"}],"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2791-1415.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:46:19Z","timestamp":1790289979000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2791-1415"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,2]]},"references-count":13,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2026,9,24]]},"published-print":{"date-parts":[[2026,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2791-1415","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":[[2026,2,2]]}}}