{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T23:28:45Z","timestamp":1773098925878,"version":"3.50.1"},"reference-count":22,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The aim of this study was to investigate and compare the clinical results of arthroscopic absorbable suture repair versus conservative treatment in the management of patients with Palmer type IIC central perforation of triangular fibrocartilage complex tears.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between September 2022 and February 2023, 50 patients with Palmer type IIC central perforation of triangular fibrocartilage complex tears at our hospital were retrospectively enrolled and included in this study, with a 1-year follow-up. Patients were classified into two groups for different treatment methods: 25 patients received conservative treatment and 25 patients received arthroscopic absorbable suture repair. Preoperative magnetic resonance imaging, intraoperative arthroscopic findings, and postoperative complications were recorded. Outcome measures were assessed using the visual analog scale (VAS) and the Modified Mayo Wrist Score (MMWS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All patients completed the 1 year follow-up. In the conservative treatment group, the average VAS score was 3\u2009\u00b1\u20090.7 and the average MMWS was 83.3\u2009\u00b1\u20094.8. In the surgical group, the average VAS score was 2\u2009\u00b1\u20090.7 and the average MMWS was 85.1\u2009\u00b1\u20093.9. The two groups showed no statistically significant difference in MMWS values. On the other hand, statistically significant differences were demonstrated in VAS scores. Postoperative complications, including surgical site infection and wrist joint stiffness, were observed in four patients of the 25.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There were no statistically significant differences in the clinical outcomes between the absorbable repair and conservative treatment groups. However, absorbable repair surgery could effectively alleviate patients\u2019 pain symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1668279","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T12:55:32Z","timestamp":1773060932000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["One-year follow-up of patients with Palmer type IIC central perforation of triangular fibrocartilage complex tears treated with arthroscopic absorbable suture repair and conservative treatment"],"prefix":"10.3389","volume":"13","author":[{"given":"Miao","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Jiading Branch of Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Jiading District Jiangqiao Hospital","place":["Shanghai, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haoliang","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tongren Hospital Affiliated to Shanghai Jiao Tong University School of Medicine","place":["Shanghai, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,9]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"557","DOI":"10.3892\/etm.2023.12256","article-title":"Outcome in TFCC repair using micro anchor and trans-osseous technique","volume":"26","author":"Khair","year":"2023","journal-title":"Exp Ther Med"},{"key":"B2","doi-asserted-by":"publisher","first-page":"946","DOI":"10.1186\/s13018-023-04438-5","article-title":"Association between imaging parameter changes and triangular fibrocartilage complex injury after distal radius fractures","volume":"18","author":"Tan","year":"2023","journal-title":"J Orthop Surg Res"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1029","DOI":"10.3390\/jpm12071029","article-title":"Deep learning to detect triangular fibrocartilage complex injury in wrist MRI: retrospective study with internal and external validation","volume":"12","author":"Lin","year":"2022","journal-title":"J Pers Med"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1846","DOI":"10.1016\/j.arthro.2022.01.009","article-title":"Midterm results of arthroscopy-assisted \u201ctent form\u201d triangular fibrocartilage complex repair with dorsal distal radioulnar joint capsule imbrication for posttraumatic chronic distal radioulnar joint instability","volume":"38","author":"Yeh","year":"2022","journal-title":"Arthroscopy"},{"key":"B5","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1067\/j.cpradiol.2015.05.004","article-title":"The traumatized TFCC: an illustrated review of the anatomy and injury patterns of the triangular fibrocartilage complex","volume":"45","author":"Skalski","year":"2016","journal-title":"Curr Probl Diagn Radiol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"674","DOI":"10.1177\/1558944719828007","article-title":"Surgical repair of acute TFCC injury","volume":"15","author":"Dunn","year":"2020","journal-title":"Hand (N Y)"},{"key":"B7","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1055\/s-0041-1735981","article-title":"Allinside anatomic arthroscopic (3A) reconstruction of irreparable TFCC tear","volume":"12","author":"Atzei","year":"2023","journal-title":"J Wrist Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1177\/1558944718815244","article-title":"Open versus arthroscopic repair of 1B ulnar-sided triangular fibrocartilage complex tears: a systematic review","volume":"15","author":"Robba","year":"2020","journal-title":"Hand (N Y)"},{"key":"B9","doi-asserted-by":"publisher","first-page":"102995","DOI":"10.1016\/j.eats.2024.102995","article-title":"Arthroscopic repair of combined triangular fibrocartilage complex, lunotriquetral ligament, and ulnocarpal ligament tears","volume":"13","author":"Chung","year":"2024","journal-title":"Arthrosc Tech"},{"key":"B10","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1016\/j.hcl.2021.06.006","article-title":"Triangular fibrocartilage complex repair\/reconstruction","volume":"37","author":"Shapiro","year":"2021","journal-title":"Hand Clin"},{"key":"B11","doi-asserted-by":"publisher","first-page":"1245","DOI":"10.1177\/15589447221084125","article-title":"Radial sided triangular fibrocartilage complex tears: a comprehensive review","volume":"18","author":"Messina","year":"2023","journal-title":"Hand (N Y)"},{"key":"B12","doi-asserted-by":"publisher","first-page":"600","DOI":"10.1186\/s13018-021-02752-4","article-title":"Comparative outcomes between all-inside arthroscopic suture anchor technique versus arthroscopic transosseous suture technique in patients with triangular fibrocartilage complex tear: a retrospective comparative study","volume":"16","author":"Hung","year":"2021","journal-title":"J Orthop Surg Res"},{"key":"B13","doi-asserted-by":"publisher","first-page":"1258","DOI":"10.1177\/15589447221105546","article-title":"Biomechanical outcomes of surgically repaired TFCC palmer type 1B tears: a systematic review of cadaver studies","volume":"18","author":"Koeyvoets","year":"2023","journal-title":"Hand (N Y)"},{"key":"B14","doi-asserted-by":"publisher","first-page":"1807","DOI":"10.1007\/s00402-021-03918-9","article-title":"Long-term outcome after arthroscopic debridement of palmer type 2C central degenerative lesions of the triangular fibrocartilage complex","volume":"141","author":"Spies","year":"2021","journal-title":"Arch Orthop Trauma Surg"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.CC.21.00606","article-title":"Reconstruction of triangular fibrocartilage Complex avulsions (palmar 1C) with associated lunotriquetral and dorsal capsule injury: a case report","volume":"12","author":"Lenartowicz","year":"2022","journal-title":"JBJS Case Connect"},{"key":"B16","first-page":"2874","article-title":"Conservative vs. surgical approach for degenerative meniscal injuries: a systematic review of clinical evidence","volume":"24","author":"Giuffrida","year":"2020","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"B17","doi-asserted-by":"publisher","first-page":"612","DOI":"10.1177\/15589447241232012","article-title":"Dynamic computed tomography of the distal radioulnar joint versus magnetic resonance imaging in detecting foveal tears of the triangular fibrocartilage complex","volume":"20","author":"Braig","year":"2025","journal-title":"Hand (N Y)"},{"key":"B18","doi-asserted-by":"publisher","first-page":"570","DOI":"10.1016\/j.jcot.2020.06.001","article-title":"TFCC injuries: how we treat?","volume":"11","author":"Jawed","year":"2020","journal-title":"J Clin Orthop Trauma"},{"key":"B19","doi-asserted-by":"publisher","first-page":"302","DOI":"10.1055\/s-0043-1771010","article-title":"Patient-rated wrist evaluation threshold for successful open surgery of the triangular fibrocartilage complex","volume":"13","author":"Feitz","year":"2024","journal-title":"J Wrist Surg"},{"key":"B20","doi-asserted-by":"publisher","first-page":"1049","DOI":"10.1177\/17531934211024177","article-title":"The rein-type arthroscopic capsular suture for triangular fibrocartilage complex foveal tears: midterm results for 90 patients","volume":"46","author":"Lo","year":"2021","journal-title":"J Hand Surg Eur Vol"},{"key":"B21","doi-asserted-by":"publisher","first-page":"1641","DOI":"10.1016\/j.arthro.2020.12.209","article-title":"Arthroscopic transosseous repair of foveal tears of the triangular fibrocartilage complex: a systematic review of clinical outcomes","volume":"37","author":"Jung","year":"2021","journal-title":"Arthroscopy"},{"key":"B22","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1177\/17531934231218608","article-title":"Complications after arthroscopic triangular fibrocartilage complex (TFCC) surgery","volume":"49","author":"Mak","year":"2024","journal-title":"J Hand Surg Eur Vol"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1668279\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T12:55:33Z","timestamp":1773060933000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1668279\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,9]]},"references-count":22,"alternative-id":["10.3389\/fsurg.2026.1668279"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2026.1668279","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,9]]},"article-number":"1668279"}}