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J Wrist Surg 2012; 01(01): 069-072
DOI: 10.1055/s-0032-1312047
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

TILT Following a TFCC Tear: A Case Report

Ronit Wollstein
1   Division of Plastic and Reconstructive Surgery and the Department of Orthopedic Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
,
Jignesh Unadkat
2   Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
,
Aaron Grand
3   Department of Orthopedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania
› Author Affiliations
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Publication History

Publication Date:
26 July 2012 (online)

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Abstract

We describe the case of a dorsal proximal triquetral impingement caused by a torn triangular fibrocartilage complex (TFCC) amassed on the repair site at the ulnar styloid. The impinging tissue was removed by simple burring with resultant relief of symptoms. This case illustrates painful impingement of soft tissue on the triquetrum. Possibly, the source of tissue impingement may include different extra-articular or torn intra-articular structures. Soft tissue impingement on the triquetrum may be a cause of ulnar-sided wrist pain following failed TFCC repair.

Keywords

impingement - TFCC tear - TILT - triquetrum
 

  • References

  • 1 Watson HK, Weinzweig J. Triquetral impingement ligament tear (tilt). J Hand Surg [Br] 1999; 24 (3) 321-324
    CrossrefPubMedGoogle Scholar
  • 2 Rottgers AS, Carlson L, Wollstein R. Triquetral impingement ligament tear (TILT) syndrome. In: Slutsky D, ed. Principles and Practice of Wrist Surgery. Philadelphia: Saunders Elsevier; 2010: 507-510
    Google Scholar
  • 3 Giachino AA, McIntyre AI, Guy KJ, Conway AF. Ulnar styloid triquetral impaction. Hand Surg 2007; 12 (2) 123-134
    CrossrefPubMedGoogle Scholar
  • 4 Mathiowetz V, Weber K, Volland G, Kashman N. Reliability and validity of grip and pinch strength evaluations. J Hand Surg Am 1984; 9 (2) 222-226
    CrossrefPubMedGoogle Scholar
  • 5 Protopsaltis TS, Ruch DS. Triangular fibrocartilage complex tears associated with symptomatic ulnar styloid nonunions. J Hand Surg Am 2010; 35 (8) 1251-1255
    CrossrefPubMedGoogle Scholar