Triangular fibrocartilage complex (TFCC) tears can cause ulnar-sided wrist pain in children and adolescents following acute rotational injury or prior distal radius fracture. Surgical treatment, guided by the Palmer classification, is considered after activity modification and occupational therapy. All concomitant wrist pathologies, such as distal radioulnar joint instability, ulnocarpal impaction, and distal radius malunion, must be recognized and addressed at the time of TFCC debridement or repair. This article reviews recent literature guiding clinical evaluation and surgical treatment of children and adolescents with TFCC injuries. The authors' techniques for arthroscopic-assisted outside-in repair of Palmer 1B and 1D tears are described.

中文翻译：

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儿童和青少年的三角纤维软骨复合体损伤。

三角纤维软骨复合体 (TFCC) 撕裂可导致儿童和青少年在急性旋转损伤或先前的桡骨远端骨折后出现尺侧腕部疼痛。以 Palmer 分类为指导的手术治疗是在活动调整和职业治疗之后考虑的。在 TFCC 清创或修复时，必须识别和处理所有伴随的腕部病变，例如远端桡尺关节不稳定、尺腕嵌塞和桡骨远端畸形愈合。本文回顾了近期指导儿童和青少年 TFCC 损伤临床评估和手术治疗的文献。作者描述了关节镜辅助外向内修复 Palmer 1B 和 1D 撕裂的技术。