ArticleSkeletal radiology2020
Traumatic injury of the triangular fibrocartilage complex (TFCC)-a refinement to the Palmer classification by using high-resolution 3-T MRI.
Article in Skeletal radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 35 citations in OpenAlex.
- The triangular fibrocartilage complex (TFCC): updated anatomy, variants, and MRI diagnostic pitfalls.Skeletal radiology · 2026Review
- Beyond Palmer: a topographic classification of non-Palmer triangular fibrocartilage complex injuries.Insights into imaging · 2026Review
- Wrist arthro-CT: don't forget to check the foveal attachment.Insights into imaging · 2026Article
- MRI Enhancement Associated with TFCC and Scapholunate Interosseous Ligament Tears.Journal of wrist surgery · 2026Article
- Relationships between age, gender, ulnar variance and triangular fibrocartilage disc on high-resolution MRI in asymptomatic adults' wrist.Journal of orthopaedic surgery and research · 2025Article
- Fiber anatomy and histological characteristics of the innervation of the triangular fibrocartilage complex.Surgical and radiologic anatomy : SRA · 2024Article
- Arthroscopic dual-bone tunnel repair for palmer type IB injuries of the triangular fibrocartilage complex.BMC musculoskeletal disorders · 2024Article
- A New Arthroscopic Classification of Triangular Fibrocartilage Complex Disorders.Journal of wrist surgery · 2024Article
- SSR white paper: guidelines for utilization and performance of direct MR arthrography.Skeletal radiology · 2024Review
- Diagnostic value of MRI in traumatic triangular fibrocartilage complex injuries: a retrospective study.BMC musculoskeletal disorders · 2024Article
- Outcome in TFCC repair using micro anchor and trans‑osseous technique.Experimental and therapeutic medicine · 2023Article
- Interdisciplinary consensus statements on imaging of DRUJ instability and TFCC injuries.European radiology · 2023Article
- MRI-Related Risk Factors for Distal Radioulnar Joint Instability.Orthopaedic surgery · 2023Article
- Extensor carpi ulnaris tendon pathology and ulnar styloid bone marrow edema as diagnostic markers of peripheral triangular fibrocartilage complex tears on wrist MRI: a case-control study.European radiology · 2023Article
- The triangular fibrocartilage complex in the human wrist: A scoping review toward uniform and clinically relevant terminology.Clinical anatomy (New York, N.Y.) · 2022Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
Abstract
objectiveThe aim of this study was to investigate the MR features of the traumatic injury of the triangular fibrocartilage complex (TFCC) by using high-resolution 3-T magnetic resonance imaging (MRI) and to refine the Palmer classification system. MATERIALS AND
methodsFrom November 2015 to May 2019, sixty-seven patients met the including and excluding criteria and were enrolled into this retrospective study. All subjects had high-resolution 3-T MRI scan of the wrist and eleven had indirect MR arthrography of the wrist. All the MRI were read by two experienced musculoskeletal radiologists. Diagnostic sensitivity, specificity, and accuracy of MRI were calculated by using the arthroscopy and surgery as the standard of reference. A P value less than 0.05 was considered statistically significant. The interobserver agreement was assessed by kappa analysis.
resultsThere were 49 cases of TFCC injuries proven by the arthroscopy or surgery. The TFCC injuries in the other 18 patients were proved by the combination of clinical follow-up examination and follow-up MRI. Among the arthroscopy- or surgery-confirmed cases, there were 32 patients with original Palmer injuries (IA = 10, IB = 19, ID = 3), 5 with capsular detachment, 4 with bucket-handle tear of the TFCC that have rarely been reported, and 8 with complex injuries that involved the listed classifications above. The sensitivities and specificities of MRI for diagnosing IA, IB, ID, complex injuries, and bucket-handle tear were 67-100% and 90-100%, and overall good to perfect interobserver agreements (kappa, 0.64-1.00). The diagnostic performance for the capsular detachment was lower (kappa, 0.38).
conclusionWith high-resolution 3-T MRI, more detailed injury patterns were found including capsular injuries, the horizontal tear of the articular disk, and the bucket-handle tear. It is necessary to refine the classic Palmer classification of TFCC injuries.
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