TY - JOUR
T1 - The triangular fibrocartilage complex in the human wrist
T2 - A scoping review toward uniform and clinically relevant terminology
AU - van der Post, Anne-Sophie
AU - Jens, Sjoerd
AU - Daams, Joost G.
AU - Obdeijn, Miryam C.
AU - Maas, Mario
AU - Oostra, Roelof-Jan
N1 - Funding Information: The authors sincerely thank those who donated their bodies to science so that anatomical research could be performed. Results from such research can potentially increase mankind's overall knowledge that can then improve patient care. Therefore, these donors and their families deserve our highest gratitude (Iwanaga et al., 2021). Additionally, we would like to thank Professor J. M. G. Kauer for providing us with his histological collection of TFCC sections for illustrative purposes and for his everlasting interest and commitment to TFCC anatomy. Publisher Copyright: © 2022 The Authors. Clinical Anatomy published by Wiley Periodicals LLC on behalf of American Association for Clinical Anatomists and the British Association for Clinical Anatomists.
PY - 2022/7
Y1 - 2022/7
N2 - The aim of this scoping review was to assess the composition, terminology, and anatomy of the triangular fibrocartilage complex (TFCC) of the wrist and propose unambiguous terminology regarding the individual components. The review was conducted according to the methodological framework by Arksey and O'Malley (International Journal of Social Research Methodology, 2005, 8, 19–32). Electronic databases were searched from inception until September 1, 2021 for original anatomical studies, using MeSH terms and keywords on terminology and anatomy of TFCC components. Studies using gross dissections or macro- or microscopic histology were included. Animal studies, fetal studies and studies with unknown disease status, were excluded. A total of 24 studies were included. The articular disc, the radioulnar ligaments, the meniscus homologue and the extensor carpi ulnaris tendon (sub)sheath were unanimously classified as TFCC components. One study did not include the ulnolunate and ulnotriquetral ligaments and only one study did include the ligamentum subcruentum. The largest disagreement existed regarding the inclusion of the ulnar collateral ligament. Terminological ambiguity was seen in “triangular fibrocartilage,” “triangular ligament,” “igamentum subcruentum,” and the “proximal and distal lamina.” Anatomical ambiguity existed especially regarding the radioulnar ligaments, the ulnar attachments of the TFCC and the ulnar collateral ligament. Definitions of the individual TFCC components are redundant, ambiguous, and ill-defined and therefore subject to different interpretations. In order to preclude confusion, consensus regarding terminology is recommended. We proposed a concise definition of the healthy TFCC that can be used as a starting point for future studies and current clinical practice.
AB - The aim of this scoping review was to assess the composition, terminology, and anatomy of the triangular fibrocartilage complex (TFCC) of the wrist and propose unambiguous terminology regarding the individual components. The review was conducted according to the methodological framework by Arksey and O'Malley (International Journal of Social Research Methodology, 2005, 8, 19–32). Electronic databases were searched from inception until September 1, 2021 for original anatomical studies, using MeSH terms and keywords on terminology and anatomy of TFCC components. Studies using gross dissections or macro- or microscopic histology were included. Animal studies, fetal studies and studies with unknown disease status, were excluded. A total of 24 studies were included. The articular disc, the radioulnar ligaments, the meniscus homologue and the extensor carpi ulnaris tendon (sub)sheath were unanimously classified as TFCC components. One study did not include the ulnolunate and ulnotriquetral ligaments and only one study did include the ligamentum subcruentum. The largest disagreement existed regarding the inclusion of the ulnar collateral ligament. Terminological ambiguity was seen in “triangular fibrocartilage,” “triangular ligament,” “igamentum subcruentum,” and the “proximal and distal lamina.” Anatomical ambiguity existed especially regarding the radioulnar ligaments, the ulnar attachments of the TFCC and the ulnar collateral ligament. Definitions of the individual TFCC components are redundant, ambiguous, and ill-defined and therefore subject to different interpretations. In order to preclude confusion, consensus regarding terminology is recommended. We proposed a concise definition of the healthy TFCC that can be used as a starting point for future studies and current clinical practice.
KW - anatomy
KW - terminology
KW - triangular fibrocartilage complex
KW - wrist
UR - http://www.scopus.com/inward/record.url?scp=85128231043&partnerID=8YFLogxK
U2 - https://doi.org/10.1002/ca.23880
DO - https://doi.org/10.1002/ca.23880
M3 - Review article
C2 - 35396731
SN - 0897-3806
VL - 35
SP - 626
EP - 648
JO - Clinical anatomy (New York, N.Y.)
JF - Clinical anatomy (New York, N.Y.)
IS - 5
ER -