Arthroscopic Knotless Peripheral Triangular Fibrocartilage Repair

Peripheral tears to the articular disk of the triangular fibrocartilage complex are fairly common. Patients complain of ulnar-sided wrist pain with ulnar deviation and forearmrotation along the prestyloid recess. The peripheral tears of the articular disk are amenable to arthroscopic repair due to its blood supply. All-arthroscopic knotless repair of peripheral ulnar-sided tears of the articular disk has several advantages. This technique allows for repair of the superficial and deep layers of the articular disk directly down to bone. In addition, by being knotless, it avoids irritation to the surrounding soft tissues by suture knots. This article describes arthroscopic repair of peripheral ulnar-sided tears of the articular disk down to bone with a knotless technique.