The clinical presentation is consistent with DRUJ arthritis in a heavy laborer. Of the options listed, ulnar hemiresection arthroplasty with concurrent TFCC. Triangular fibrocartilage complex TFCC injuries of the wrist affect the little finger side of the wrist. Mild injuries of the TFCC are called wrist sprain. Bryan Ferry Discography more. IMG_1848.jpg' alt='Tfcc Ligament Tear Repair' title='Tfcc Ligament Tear Repair' />Ulnocarpal Abutment Syndrome Hand. The clinical presentation is consistent with DRUJ arthritis in a heavy laborer. Of the options listed, ulnar hemiresection arthroplasty with concurrent TFCC reconstruction or repair would be the most appropriate treatment. While there are multiple treatment options, the ulnar hemiresection arthroplasty with concurrent TFCC reconstruction or repair is considered most appropriate in heavy laborers, as it would likely resolve the pain and enable them to return to work sooner. The TFCC should be intact when performing an ulnar hemiresection arthroplasty to prevent distal ulna instability with forearm rotation. One could also consider performing a Suave Kapandji procedure. This procedure creates a distal radioulnar fusion and an ulnar pseudarthrosis proximal to the fusion site through which rotation can occur. The advantage is that the ulnocarpal joint is not sacrificed, and a stable wrist is created. Scheker et al reported on the outcome of ulnar shortening performed on 3. DRUJ. The postoperative wrist ratings were 73. Figure A is a radiograph showing significant DRUJ arthritis. Illustration A shows ulnar hemiresection arthroplasty. Illustration B shows a Darrach procedure. Illustration C shows a Sauve Kapandji procedure. Illustration D is a treatment schematic of TFCC reconstruction. A disease that is characterized by profound immune system suppression and associated with opportunistic infections, secondary neoplasms, and neurologic manifestations. Micro SutureLassos were designed to facilitate arthroscopic repair of the TFCC Triangular Fibrocartialge Complex, whether the dorsal or palmar capsular ligament. Physical Therapy in Corpus Christi for Wrist Issues. Welcome to Humpal Physical Therapy Sports Medicine Centers resource to Triangular Fibrocartilage Complex TFCC. TFCC+tear' alt='Tfcc Ligament Tear Repair' title='Tfcc Ligament Tear Repair' />Incorrect Answers. Answer 1 There is no obvious ulnar styloid non union. Answer 2 As mentioned in Millers review text, the Darrach procedure is typically reserved for low demand, elderly patients and may lead to painful proximal ulna stump instability. Answer 3 Complete ulnar head resection is not indicated. Answer 5 TFCC reconstruction will not improve or treat the DRUJ arthritic changes. Doctors and patients often use the words meniscus tear and cartilage tear interchangeably. But do these words mean the same thing DISTAL RADIOULNA JOINT DRUJ What is distal radioulna joint The distal radioulna joint DRUJ is the distal far joint between the radius and ulna bones.