Abstract
Background
Traumatic or degenerative changes in the triangular fibrocartilage complex (TFCC)
commonly cause ulnar-sided wrist pain and dysfunction. Arthroscopic techniques for
the treatment of these injuries have gained popularity due to their minimally invasive
nature and improved visualization.
Case Description
This article presents a novel arthroscopic technique for TFCC repair named Around
Styloid. This is a modification of an open technique described by Argintar and Mantovani
in 2010. This technique seeks to simplify the technique of foveal reinsertion of the
TFCC, using basic elements and sutures in surgery.
Literature Review
Traditional open techniques for TFCC repair can be technically demanding and may involve
bony tunneling in the foveal joint region of the distal ulna. Arthroscopic techniques
have emerged as a less invasive alternative, but they can still present challenges,
particularly for surgeons with limited experience.
Clinical Relevance
The arthroscopic “Around Styloid” novel technique appears as an alternative that seeks,
in a simple way, to perform foveal reinsertion of the TFCC, avoiding the need to perform
the bone tunnels directed to the fovea of the ulna, which may represent a great surgical
challenge, especially for surgeons in the process of learning arthroscopic techniques.
Keywords
arthroscopy - TFCC - instability - foveal - repair
