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Journal of Hand Surgery (British and European Volume)
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Articles

Reconstruction of the Dorsal Ligament of the Triangular Fibrocartilage Complex

L. R. SCHEKER
P. P. BELLIAPPA
R. ACOSTA
D. S. GERMAN

From the Christine M. Kleinert Institute for Hand and Micro Surgery and the University of Louisville School of Medicine, Louisville, Kentucky, USA

Correspondence: Luis R. Scheker, MD, 225 Abraham Flexner Way, Suite 850, Louisville, KY 40202, USA.

The distal radio-ulnar ligaments (DRUL) are key components of the triangular fibrocartilage complex (TFCC). The dorsal DRUL tightens during pronation of the forearm and helps to stabilize this motion. 12 women and three men at our clinic have been treated for DRUJ instability secondary to dorsal DRUL rupture or attenuation. Their chief complaint was pain. The dorsal DRUL was reconstructed using a tendon graft, the ends of which were anchored in the bone of the radius and ulna. This technique has been shown to correct dynamic DRUJ instability in carefully selected patients, decreasing or eliminating pain and restoring normal function.

Journal of Hand Surgery (British and European Volume), Vol. 19, No. 3, 310-318 (1994)
DOI: 10.1016/0266-7681(94)90079-5


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