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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2023; 33(01): 129-131
DOI: 10.1055/s-0042-1759484
Case Report

It Is Not Only the Meniscus That Flips—A Case of TFCC Tear with a Flipped Fragment in the Distal Radioulnar Joint

Aakanksha Agarwal
1   Department of Radiology, University of British Columbia, St. Paul's Hospital, Vancouver, Canada
,
Abhishek Chandra
2   Department of Orthopedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
,
Timothy Murray
1   Department of Radiology, University of British Columbia, St. Paul's Hospital, Vancouver, Canada
,
Mark Cresswell 
1   Department of Radiology, University of British Columbia, St. Paul's Hospital, Vancouver, Canada
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Abstract

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.

Keywords

triangular fibrocartilage tear - flipped TFCC - MRI in TFCC tear


Publication History

Article published online:
07 December 2022

© 2022. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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