Arthroscopic-Assisted Outside-In Repair of Triangular Fibrocartilage Complex Tears  Rachel M. Frank, M.D., William Slikker, M.D., Laith Al-Shihabi, M.D., Robert W. Wysocki, M.D.  Arthroscopy Techniques  Volume 4, Issue 5, Pages e577-e581 (October 2015) DOI: 10.1016/j.eats.2015.06.002 Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 1 Intraoperative photograph showing surgical landmarks for arthroscopic-assisted outside-in triangular fibrocartilage complex tear repair of the right wrist in the supine position using a hand table and traction tower. The probe is in the 6R portal, the arrow is pointing to the 6U portal, and the asterisk indicates Lister's tubercle. (ECU, extensor carpi ulnaris tendon.) Arthroscopy Techniques 2015 4, e577-e581DOI: (10.1016/j.eats.2015.06.002) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 2 Arthroscopic photograph showing peripheral triangular fibrocartilage complex tear (asterisk). Arthroscopy Techniques 2015 4, e577-e581DOI: (10.1016/j.eats.2015.06.002) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 3 (A) Arthroscopic photograph showing use of suture lasso. (B) Intraoperative photograph showing removal of stylet of needle. (C) Intraoperative photograph showing PDS suture insertion through the needle into the joint. (D) Arthroscopic photograph showing PDS suture through the lasso. Arthroscopy Techniques 2015 4, e577-e581DOI: (10.1016/j.eats.2015.06.002) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 4 Arthroscopic photograph showing PDS suture looped around triangular fibrocartilage complex tear (asterisk). Arthroscopy Techniques 2015 4, e577-e581DOI: (10.1016/j.eats.2015.06.002) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 5 Intraoperative photographs showing (A) the ulnar skin incision, (B) the dorsal sensory branch of the ulnar nerve (arrow), (C) the first limb of the first suture being pulled from inside to out, (D) both sutures (4 limbs) with tension before knot tying, and (E, F) both sutures after being tied down. Arthroscopy Techniques 2015 4, e577-e581DOI: (10.1016/j.eats.2015.06.002) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

Fig 6 Intraoperative photograph showing final skin closure. Arthroscopy Techniques 2015 4, e577-e581DOI: (10.1016/j.eats.2015.06.002) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions