Abstract
Palmer’s 1B class contains a heterogeneous group of problems which respond to different treatment alternatives. This is confusing. In the author’s opinion, this is due to the fact that in less than 1 cm2, the TFC, the ulnar styloid, and the capsule itself interact. Each of those structures causes its own set of problems and hence cannot be grouped under the same heading.
A classification is proposed in an attempt to help to clarify this complicated area. Horizontal tears are also described.
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References
Atzei A (2010) Arthroscopic management of DRUJ instability following TFCC ulnar tears. In: del Piñal F, Mathoulin C, Luchetti C (eds) Arthroscopic management of distal radius fractures. Springer, Berlin, pp 73–88
Atzei A, Garcia LR, Elias M (2007) Lesioni capsulo-legamentose Della radio-ulnare distale e fibrocartilagine triangolare. In: Landi A, Catalano F, Luchetti R (eds) Trattato di chirurgia Della mano. Verduci Editore, Roma, pp 159–187
de Araujo W, Poehling GG, Kuzma GR (1996) New Tuohy needle technique for triangular fibrocartilage complex repair: preliminary studies. Arthroscopy 12:699–703
del Piñal F (2009) The 1B constellation. Presented at the FESSH Congress in Poznan, Poland. Book of abstracts
del Piñal F, Studer A, Thams C, Glasberg A (2011) An all-inside technique arthroscopic suturing of the volar scapholunate ligament. J Hand Surg Am 36:2044–2046
Garcia-Elias M (1987) Dorsal fractures of the triquetrum-avulsion or compression fractures? J Hand Surg Am 12:266–268
Hermansdorfer JD, Kleinman WB (1991) Management of chronic peripheral tears of the triangular fibrocartilage complex. J Hand Surg Am 16:340–346
Palmer AK (1989) Triangular fibrocartilage complex lesion: a classification. J Hand Surg Am 14A:494–606
Ruch DS, Yang CC, Smith BP (2003) Results of acute arthroscopically repaired triangular fibrocartilage complex injuries associated with intra-articular distal radius fractures. Arthroscopy 19:511–516
Weinzweig J, Watson HK (1999) Triquetral impaction ligament tear (TILT). J Hand Surg 24B:321–324
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del Piñal, F. (2012). The 1B Constellation: An Attempt to Classify Palmer 1B Class. In: del Piñal, F. (eds) Arthroscopic Management of Ulnar Pain. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-30544-3_6
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DOI: https://doi.org/10.1007/978-3-642-30544-3_6
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