{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:09:24Z","timestamp":1791461364866,"version":"4.3.4"},"reference-count":36,"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>\n                  <jats:p>Introduction\u2003The use of wrist arthroscopy has become a prerequisite for diagnosis and treatment of triangular fibrocartilage complex (TFCC) disorders. Since Palmer's landmark paper, many new arthroscopic descriptions of TFCC tears have been published but there is no currently available updated comprehensive arthroscopic classification of TFCC lesions.<\/jats:p>\n                  <jats:p>Purpose\u2003We recently described the arthroscopic anatomy of the TFCC as viewed from a 3\u20134 portal. Our purpose was to propose a new TFCC disorders classification based on this new arthroscopic TFCC description.<\/jats:p>\n                  <jats:p>Methods\u2003We included all currently described TFCC disorders to the best of our knowledge into our arthroscopic, functional, and vascular anatomical concept. We also included patient's specific ulnar variance and distal radial ulnar joint coronal inclination as baseline treatment-oriented parameters. The fresh or chronic, reparable or nonreparable nature of some types of TFCC tears were considered as separate parameters.<\/jats:p>\n                  <jats:p>Results\u2003The proposed classification includes disc \u201cD\u201d (degenerative or traumatic), reins \u201cR\u201d (traumatic), and wall \u201cW\u201d (traumatic) lesions. Combined lesions of those three parts of the TFCC may be easily identified. This new classification should facilitate future analysis of isolated or combined TFCC disorders whether they are degenerative and\/or traumatic.<\/jats:p>\n                  <jats:p>Discussion\u2003The authors present a new three-dimensional-three-part arthroscopic updated description of TFCC disorders with relevance to etiology and treatment principles.<\/jats:p>","DOI":"10.1055\/s-0043-1769908","type":"journal-article","created":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T18:52:22Z","timestamp":1691434342000},"page":"002-008","source":"Crossref","is-referenced-by-count":17,"title":["A New Arthroscopic Classification of Triangular Fibrocartilage Complex Disorders"],"prefix":"10.1055","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3230-8267","authenticated-orcid":false,"given":"Guillaume","family":"Herzberg","sequence":"additional","affiliation":[{"name":"I-Trues Surgery Unit, Orthopedic Department, Clinique Parc Lyon, Lyon, France, Clinique Val Ouest, Lyon Ecully, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marion","family":"Burnier","sequence":"additional","affiliation":[{"name":"I-Trues Surgery Unit, Department of Orthopedic, Institut Main Membre Sup\u00e9rieur, Villeurbanne, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lyliane","family":"Ly","sequence":"additional","affiliation":[{"name":"Hospices Civils Lyon, Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiyatsu","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Minato-Ku, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco del","family":"Pi\u00f1al","sequence":"additional","affiliation":[{"name":"Serrano 58-1B 28001\u2013Madrid, Santander, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Atzei","sequence":"additional","affiliation":[{"name":"Chirurgia Della Mano, Polso e Gomito, Microchirurgia Ricostruttiva MediLAB Sottoportico Teatro Dofin, Treviso, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,8,7]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1177\/1753193416687479","article-title":"Classification of ulnar TFCC tears. 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Bednar","year":"1991","journal-title":"JHSA"},{"key":"ref21","first-page":"111","volume-title":"Arthroscopic management of foveal tears of the TFCC with DRUJ instability","author":"A Atzei","year":"2022"},{"issue":"02","key":"ref22","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.jhsa.2020.08.011","article-title":"Dry wrist arthroscopy for ulnar sided wrist disorders","volume":"46","author":"M Burnier","year":"2021","journal-title":"J Hand Surg Am"},{"issue":"03","key":"ref23","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":"01","key":"ref24","first-page":"2","article-title":"Dry arthroscopy distal radioulnar joint and foveal insertion: surgical technique","volume":"11","author":"J 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Haerle","year":"2012"},{"issue":"04","key":"ref29","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1055\/s-0037-1599125","article-title":"The suction test: a novel technique to identify and verify successful repair of peripheral triangular fibrocartilage complex tears","volume":"6","author":"R M Greene","year":"2017","journal-title":"J Wrist Surg"},{"issue":"06","key":"ref30","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1016\/j.jos.2020.10.016","article-title":"Effects of peripheral tears of the triangular fibrocartilage complex on distal radioulnar joint stability: a biomechanical study","volume":"26","author":"M Fukuoka","year":"2021","journal-title":"J Orthop Sci"},{"issue":"07","key":"ref31","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1302\/0301-620X.84B7.0841062","article-title":"Anatomical study of the carpal attachment of the triangular fibrocartilage complex","volume":"84","author":"S Nishikawa","year":"2002","journal-title":"J Bone Joint 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