It Is Not Only the Meniscus That Flips-A Case of TFCC Tear with a Flipped Fragment in the Distal Radioulnar Joint.
Aakanksha AgarwalAbhishek ChandraTimothy MurrayMark Edward CresswellPublished in: The Indian journal of radiology & imaging (2022)
Acute wrist injuries with ongoing ulnar-sided wrist pain warrant a magnetic resonance imaging (MRI) to diagnose ligamentous injuries. Triangular fibrocartilage complex (TFCC) tears have been classified and described in the literature but complex tear patterns have limited representation. Bucket-handle tears of the TFCC represent only 0.5% of TFCC tears and have recently been identified, posing a diagnostic and management challenge. Preoperative diagnosis is possible with MRI and necessary for optimal and early surgical management. The authors describe a unique case of a flipped tear of the central disc of the TFCC, where the fragment was flipped into the distal radioulnar joint, a site hidden during routine arthroscopy.
Keyphrases
- magnetic resonance imaging
- rotator cuff
- contrast enhanced
- diffusion weighted imaging
- minimally invasive
- computed tomography
- systematic review
- chronic pain
- liver failure
- patients undergoing
- neuropathic pain
- magnetic resonance
- pain management
- respiratory failure
- intensive care unit
- aortic dissection
- hepatitis b virus
- spinal cord
- anterior cruciate ligament