Review Article

MR imaging of the traumatic triangular fibrocartilaginous complex tear

Alex W. H. Ng, James F. Griffith, Cindy S. Y. Fung, Ryan K. L. Lee, Cina S. L. Tong, Clara W. Y. Wong, Wing Lim Tse, Pak Cheong Ho


Triangular fibrocartilage complex is a major stabilizer of the distal radioulnar joint (DRUJ). However, triangular fibrocartilage complex (TFCC) tear is difficult to be diagnosed on MRI for its intrinsic small and thin structure with complex anatomy. The purpose of this article is to review the anatomy of TFCC, state of art MRI imaging technique, normal appearance and features of tear on MRI according to the Palmar’s classification. Atypical tear and limitations of MRI in diagnosis of TFCC tear are also discussed.

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