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Andrea ATZEI

Policlinico GB Rossi
Verona, Italy
MD
47 likes
2198 views
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Technique of arthroscopic-assisted foveal repair for TFCC 1B lesion
Three classes of TFCC peripheral 1B tears are recognized in a treatment-orientated algorithm based on arthroscopic findings. Distal tear (class 1), associated with minimal instability of the DRUJ, requires ligament to capsule suture. Complete (class 2) and proximal tears (class 3) are associated with major DRUJ instability and require foveal re-attachment of the TFCC. A new arthroscopic-assisted technique to repair the foveal attachment of the TFCC by using a suture anchor is described. It is indicated for class 2 and 3 TFCC peripheral tears, instead of an open repair. The technique requires a dedicated working portal called Direct Foveal (DF) to approach the ulnar fovea. This DF portal is used to prepare the ligament and bone and to drill and insert a suture anchor loaded with a pair of sutures. Under arthroscopic vision, a suture is passed through each limb of the ligament and tied using a small knot-pusher or a simple mosquito forceps. This arthroscopic technique restores original TFCC anatomy and adequate DRUJ stability with less morbidity and easier rehabilitation as compared to open repair.
R Luchetti, A Atzei
Surgical intervention
6 years ago
529 views
8 likes
0 comments
15:25
Technique of arthroscopic-assisted foveal repair for TFCC 1B lesion
Three classes of TFCC peripheral 1B tears are recognized in a treatment-orientated algorithm based on arthroscopic findings. Distal tear (class 1), associated with minimal instability of the DRUJ, requires ligament to capsule suture. Complete (class 2) and proximal tears (class 3) are associated with major DRUJ instability and require foveal re-attachment of the TFCC. A new arthroscopic-assisted technique to repair the foveal attachment of the TFCC by using a suture anchor is described. It is indicated for class 2 and 3 TFCC peripheral tears, instead of an open repair. The technique requires a dedicated working portal called Direct Foveal (DF) to approach the ulnar fovea. This DF portal is used to prepare the ligament and bone and to drill and insert a suture anchor loaded with a pair of sutures. Under arthroscopic vision, a suture is passed through each limb of the ligament and tied using a small knot-pusher or a simple mosquito forceps. This arthroscopic technique restores original TFCC anatomy and adequate DRUJ stability with less morbidity and easier rehabilitation as compared to open repair.
Round table: TFCC tears: a complex system for complex lesions
The TFCC is an essential structure in the stability of the distal radio-ulnar joint (DRUJ). What we took for a simple suspensory ligament has actually become a complex structure than previously thought since the work of Palmer in 1981. Some members of the EWAS, first and foremost Toshiyasu Nakamura, has helped to better understand this essential component as well as the damage it may suffer. Thanks to Andrea Atzei, Francisco Del Pinal and Tommy Lindau, the TFCC is now a well understood and well-known entity. Having them together in a round table on this topic answering a flow of questions asked by our two famous chairmen, Diego Fernandez and Laurent Obert, allows to better understand the problems caused by the lesion of this structure.
D Fernandez, L Obert, A Atzei, TR Lindau, F del Piñal, T Nakamura
Lecture
7 years ago
193 views
2 likes
0 comments
20:12
Round table: TFCC tears: a complex system for complex lesions
The TFCC is an essential structure in the stability of the distal radio-ulnar joint (DRUJ). What we took for a simple suspensory ligament has actually become a complex structure than previously thought since the work of Palmer in 1981. Some members of the EWAS, first and foremost Toshiyasu Nakamura, has helped to better understand this essential component as well as the damage it may suffer. Thanks to Andrea Atzei, Francisco Del Pinal and Tommy Lindau, the TFCC is now a well understood and well-known entity. Having them together in a round table on this topic answering a flow of questions asked by our two famous chairmen, Diego Fernandez and Laurent Obert, allows to better understand the problems caused by the lesion of this structure.