Arthroscopic Debridement of Triangular Fibrocartilage Complex Tears

Abstract

Arthroscopic debridement has developed into a valid treatment option for TFCC tears. The aim is to remove debris causing localized synovitis and as well as unstable tissue that can catch, typically with rotation in ulna deviation. However, limited studies directly compare the outcomes of surgical treatments for TFCC injuries hence evidence-based guidance on whether a debridement or a repair is superior is difficult to establish. Most authors agree that debridement is a legitimate treatment for Palmer class 1A and degenerative tears whereas in 1B and 1C tears a repair seems to be beneficial. The use of debridement in type 1D lesions remains a controversial topic, in part due to the low frequency of this injury pattern. Arthroscopic debridement for nonrepairable central TFCC lesions in the absence of ulnar-positive variance reliably provides patients with a lower level of pain and improved function compared to that experienced before surgery, which can help them get back to work or activities.