ArticleBMC musculoskeletal disorders2024
Diagnostic value of MRI in traumatic triangular fibrocartilage complex injuries: a retrospective study.
Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 14 citations in OpenAlex.
- Beyond Palmer: a topographic classification of non-Palmer triangular fibrocartilage complex injuries.Insights into imaging · 2026Review
- Identification of TFCC substructure injury in wrist MRI using computer vision: a diagnostic aid for radiologists.Skeletal radiology · 2026Article
- The ulna osteotomy locking plate II in patients with ulnocarpal impaction syndrome: a retrospective evaluation.Archives of orthopaedic and trauma surgery · 2026Article
- Prognostic Value of Intraoperative Distal Radioulnar Joint Instability Grading in Distal Radius and Galeazzi Fractures: A Prospective Multicenter Cohort Study.Life (Basel, Switzerland) · 2026Article
- Open versus arthroscopic triangular fibrocartilage repairs: a narrative review.Orthopedic reviews · 2026Article
- Diagnostic wrist arthroscopy: findings in patients suspected of TFCC lesions.Archives of orthopaedic and trauma surgery · 2025Observational
- Triangular Fibrocartilage Complex: An Anatomical and Medical Illustration Study.Clinical anatomy (New York, N.Y.) · 2025Review
- Fiber anatomy and histological characteristics of the innervation of the triangular fibrocartilage complex.Surgical and radiologic anatomy : SRA · 2024Article
- Advancements in Diagnosis and Management of Distal Radioulnar Joint Instability: A Comprehensive Review Including a New Classification for DRUJ Injuries.Journal of personalized medicine · 2024Review
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundTriangular fibrocartilage complex (TFCC) injuries commonly manifest as ulnar-sided wrist pain and can be associated with distal radioulnar joint (DRUJ) instability and subsequent wrist functional decline. This study aimed to assess the diagnostic value of MRI compared to wrist arthroscopy in identifying traumatic TFCC injuries and to determine the distribution of different TFCC injury subtypes in a normal clinical setting.
methodsThe data of 193 patients who underwent both preoperative wrist MRI and wrist arthroscopy were retrospectively reviewed. The analysis focused on the proportion of subtypes and the diagnostic value of MRI in traumatic TFCC injuries, utilizing Palmer's and Atzei's classification with wrist arthroscopy considered as the gold standard.
resultsThe most prevalent subtype of TFCC injuries were peripheral injuries (Palmer 1B, 67.9%), followed by combined injuries (Palmer 1 A + 1B, 14%; Palmer 1B + 1D, 8.3%). Compared with wrist arthroscopy, the diagnostic sensitivity, specificity, negative predictive value (NPV), and Kappa value of MRI was as follows: traumatic TFCC tears 0.99 (95% CI: 0.97-1), 0.90 (0.78-0.96), 0.97 (0.87-1), and 0.93; styloid lamina tears 0.93 (0.88-0.96), 0.53 (0.30-0.75), 0.47 (0.26-0.69), and 0.44; and foveal lamina tears 0.85 (0.74-0.92), 0.38 (0.29-0.49), 0.79 (0.65-0.89), and 0.21.
conclusionsThe diagnostic value of MRI in traumatic TFCC injuries has been confirmed to be almost perfect using Palmer's classification. In more detailed classification of TFCC injuries, such as pc-TFCC tears classified by Atzei's classification, the diagnostic accuracy of MRI remains lower compared to wrist arthroscopy. Radiological associated injuries may offer additional diagnostic value in cases with diagnostic uncertainty.
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