{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T22:38:45Z","timestamp":1765233525768,"version":"3.37.3"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Traumatic disruption of the triangular fibrocartilage complex (TFCC) is commonly present in various wrist traumas. A variation of surgical techniques is previously developed for different injury patterns. To our knowledge, only a few studies have investigated the fixation of combined foveal and capsular TFCC injuries using the ulnar tunnel technique.<\/jats:p><jats:p>\n          Purpose\u2003This prospective cohort study of 21 patients aimed to evaluate the clinical and patient-reported outcome at 2 years of follow-up after arthroscopic TFCC of combined, foveal, and capsular reattachment by modified ulnar tunnel technique.<\/jats:p><jats:p>\n          Methods\u2003Pain, grip strength, wrist motion, inclusive rotation, and patient-reported outcomes were assessed pre- and postoperatively at 2 years of follow-up.<\/jats:p><jats:p>\n          Results\u2003No complications occurred preoperatively. Pain and patient-reported outcomes improved significantly (p\u2009&lt;\u20090.0001 and 0.004). Grip strength improved, but not significantly (p\u2009=\u20090.088). The range of motion remained unchanged. All the patients achieved full stability of the distal radioulnar joint. Two patients sustained a new TFCC injury due to a wrist trauma and underwent a reoperation successfully. Two patients experienced complications: one patient experienced tenderness caused by cyst occurrence after PushLock ankers and the second had subluxation of the extensor carpi ulnaris tendon subsheet. Both patients were successfully treated and reoperated on with curettage of the cyst, and reconstruction of the extensor carpi ulnaris retinaculum. All the patients ended with good or excellent satisfaction scores.<\/jats:p><jats:p>\n          Conclusion\u2003The ulnar tunnel technique for combined foveal and capsular injuries shows promising short-term follow-up results and high satisfaction scores in the patients.<\/jats:p><jats:p>\n          Level of Evidence\u2003II (Prospective Corhorte).<\/jats:p>","DOI":"10.1055\/s-0043-1768237","type":"journal-article","created":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T23:08:10Z","timestamp":1682118490000},"page":"031-037","source":"Crossref","is-referenced-by-count":2,"title":["A Modified Arthroscopic Ulnar Tunnel Technique for Combined Foveal and Capsular (All-Inside) Fixation of Triangular Fibrocartilage Complex Injury"],"prefix":"10.1055","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7701-269X","authenticated-orcid":false,"given":"Sabine","family":"Simonsen","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Herlev and Gentofte University Hospital of Copenhagen, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Gvozdenovic","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Herlev and Gentofte University Hospital of Copenhagen, Hellerup, Denmark"},{"name":"University of Copenhagen, Faculty of Health and Medical Sciences, Institute of Clinical Medicine, Copenhagen N, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,4,21]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1016\/j.injury.2012.02.013","article-title":"Patterns of triangular fibrocartilage complex (TFCC) injury associated with severely dorsally displaced extra-articular distal radius fractures","volume":"43","author":"J H 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triangular fibrocartilage complex foveal tear repair in the united states military","volume":"1","author":"J Dunn","year":"2019","journal-title":"J Hand Surg Glob Online."},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.hansur.2020.01.001","article-title":"Arthroscopic-assisted 6U approach for foveal reattachment of triangular fibrocartilage complex with an anchor: Clinical and radiographic outcomes at 4 years' mean follow-up","volume":"39","author":"P Auzias","year":"2020","journal-title":"Hand Surg Rehabil"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/j.hcl.2011.05.002","article-title":"Repair of foveal detachment of the triangular fibrocartilage complex: open and arthroscopic transosseous techniques","volume":"27","author":"T Nakamura","year":"2011","journal-title":"Hand Clin"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/j.jhsa.2012.11.008","article-title":"Arthroscopically assisted repair of triangular fibrocartilage complex foveal tears","volume":"38","author":"T Shinohara","year":"2013","journal-title":"J Hand Surg Am"},{"issue":"10","key":"ref12","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.1016\/j.arthro.2011.05.020","article-title":"Arthroscopic-assisted repair of avulsed triangular fibrocartilage complex to the fovea of the ulnar head: a 2- to 4-year follow-up study","volume":"27","author":"N Iwasaki","year":"2011","journal-title":"Arthroscopy"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1142\/S2424835516400105","article-title":"Arthroscopic trans-osseous suture of peripheral triangular fibrocartilage complex tear","volume":"21","author":"M Jegal","year":"2016","journal-title":"J Hand Surg Asian Pac 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Nakamura","year":"2000","journal-title":"Ann Anat"},{"issue":"03","key":"ref17","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1016\/j.jhsa.2005.11.008","article-title":"Relative contributions of the ulnar attachments of the triangular fibrocartilage complex to the dynamic stability of the distal radioulnar joint","volume":"31","author":"J R Haugstvedt","year":"2006","journal-title":"J Hand Surg Am"},{"issue":"07","key":"ref18","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1016\/j.jhsa.2007.06.014","article-title":"Stability of the distal radioulna joint: biomechanics, pathophysiology, physical diagnosis, and restoration of function what we have learned in 25 years","volume":"32","author":"W B Kleinman","year":"2007","journal-title":"J Hand Surg Am"},{"issue":"06","key":"ref19","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1054\/jhsb.2001.0645","article-title":"A comparison of the findings of wrist arthroscopy and magnetic resonance imaging in the 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