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Review

Ulnar Wrist Pain Revisited: Ultrasound Diagnosis and Guided Injection for Triangular Fibrocartilage Complex Injuries

by
Wei-Ting Wu
1,2,
Ke-Vin Chang
1,2,*,
Kamal Mezian
3,
Ondřej Naňka
4,
Yi-Chiang Yang
5,
Yu-Chun Hsu
5,
Po-Cheng Hsu
1 and
Levent Özçakar
6
1
Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei 10845, Taiwan
2
Department of Physical Medicine and Rehabilitation, National Taiwan University College of Medicine, Taipei 10845, Taiwan
3
Department of Rehabilitation Medicine, Charles University, First Faculty of Medicine, 12800 Prague, Czech Republic
4
Institute of Anatomy, Charles University, First Faculty of Medicine, 12800 Prague, Czech Republic
5
Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei 11217, Taiwan
6
Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara 06100, Turkey
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(10), 1540; https://doi.org/10.3390/jcm8101540
Submission received: 17 August 2019 / Revised: 19 September 2019 / Accepted: 23 September 2019 / Published: 25 September 2019
(This article belongs to the Section Nuclear Medicine & Radiology)
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Abstract

The triangular fibrocartilage complex (TFCC) serves as the major stabilizer of the wrist. Its injuries can result from trauma or degeneration, both of which are strongly correlated with the loading stress on the ulnar shaft and carpal joints. The TFCC is made of the articular disc, meniscus homologue, ulnocarpal ligament, radioulnar ligament, ulnotriquetral ligament, ulnolunate ligament, and subsheath of the extensor carpi ulnaris tendon. Because of its complexity, it is challenging to confirm the exact component affected in TFCC injuries. The Palmer classification is widely used for investigation of TFCC lesions using magnetic resonance imaging. Recently, high-resolution ultrasound (US) has become more popular in diagnosing musculoskeletal disorders. However, the utility of US imaging in TFCC lesions is less common because its anatomy under US imaging is not described in the current literature. Accordingly, in this review, we aimed to propose a standard US scanning protocol for the TFCC, present relevant images for its pathologies, and illustrate appropriate US-guided injection techniques for their management.
Keywords: triangular fibrocartilage complex; wrist; ultrasound; magnetic resonance imaging triangular fibrocartilage complex; wrist; ultrasound; magnetic resonance imaging

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MDPI and ACS Style

Wu, W.-T.; Chang, K.-V.; Mezian, K.; Naňka, O.; Yang, Y.-C.; Hsu, Y.-C.; Hsu, P.-C.; Özçakar, L. Ulnar Wrist Pain Revisited: Ultrasound Diagnosis and Guided Injection for Triangular Fibrocartilage Complex Injuries. J. Clin. Med. 2019, 8, 1540. https://doi.org/10.3390/jcm8101540

AMA Style

Wu W-T, Chang K-V, Mezian K, Naňka O, Yang Y-C, Hsu Y-C, Hsu P-C, Özçakar L. Ulnar Wrist Pain Revisited: Ultrasound Diagnosis and Guided Injection for Triangular Fibrocartilage Complex Injuries. Journal of Clinical Medicine. 2019; 8(10):1540. https://doi.org/10.3390/jcm8101540

Chicago/Turabian Style

Wu, Wei-Ting, Ke-Vin Chang, Kamal Mezian, Ondřej Naňka, Yi-Chiang Yang, Yu-Chun Hsu, Po-Cheng Hsu, and Levent Özçakar. 2019. "Ulnar Wrist Pain Revisited: Ultrasound Diagnosis and Guided Injection for Triangular Fibrocartilage Complex Injuries" Journal of Clinical Medicine 8, no. 10: 1540. https://doi.org/10.3390/jcm8101540

APA Style

Wu, W.-T., Chang, K.-V., Mezian, K., Naňka, O., Yang, Y.-C., Hsu, Y.-C., Hsu, P.-C., & Özçakar, L. (2019). Ulnar Wrist Pain Revisited: Ultrasound Diagnosis and Guided Injection for Triangular Fibrocartilage Complex Injuries. Journal of Clinical Medicine, 8(10), 1540. https://doi.org/10.3390/jcm8101540

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