The ulnar portion of the extrinsic volar ligaments of the wrist is formed by the triangular

fibrocartilage complex (TFCC) (Slide 1, Slide 2). The TFCC consists of the triangular
fibrocartilage (TFC) proper (the articular disc), the dorsal and volar radioulnar ligaments, the ulnar
collateral ligament, the meniscus homologue, the extensor carpi ulnaris sheath, and the
ulnolunate and ulnotriquetral ligaments (Slide 1, Slide 2).

The dorsal and volar radioulnar ligaments reinforce the peripheral margins of the TFC articular
disc.

The term TFCC was coined to describe all of the ligamentous and cartilaginous structures that
were thought to play a role in suspending the distal radius and the ulnar carpus from the distal
ulna. It functions in the maintenance of both the stability of the distal radioulnar joint (DRUJ) and
the stability of the carpus as a whole (preventing pronosupination of the carpus). The TFCC also
contributes to stability within the carpus by preventing nondissociative carpal instabilities (CIND).