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J Wrist Surg 2019; 08(05): 423-425
DOI: 10.1055/s-0038-1669919
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Atraumatic Bucket Handle Abnormality of the Triangular Fibrocartilage Complex in an Adolescent

Leen Vanlaer
1   Department of Orthopaedic Surgery, UZ Leuven, Lubbeek (Pellenberg), Belgium
,
Sebastiaan Kellens
1   Department of Orthopaedic Surgery, UZ Leuven, Lubbeek (Pellenberg), Belgium
,
Maarten Van Nuffel
1   Department of Orthopaedic Surgery, UZ Leuven, Lubbeek (Pellenberg), Belgium
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Publikationsverlauf

04. Mai 2018

02. August 2018

Publikationsdatum:
11. September 2018 (online)

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Abstract

Background Congenital abnormalities of the triangular fibrocartilage complex (TFCC) are rare and could be mistaken for a traumatic lesion. It is important to recognize these anatomical variations and to realize they do not always require treatment.

Case Description An incidental finding of an atraumatic bucket handle abnormality of the TFCC in a 15-year-old male, who was treated arthroscopically for dorsal wrist pain. This structure was resected, thus obtaining a normal looking peripheral TFCC.

Literature Review Literature regarding congenital abnormalities of the TFCC is limited to a meniscoid articular disc or a congenital perforation. To our knowledge, an atraumatic bucket handle abnormality has not been described yet.

Clinical Relevance This congenital abnormality of the TFCC could be mistaken for a traumatic lesion on MRI, or during wrist arthroscopy; therefore, it is important to realize that this entity may occur and does not require treatment.

Keywords

triangular fibrocartilage complex - wrist arthroscopy - congenital abnormality
 

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