Is the ulnar fovea sign positive only in foveal tears of the triangular fibrocartilage complex?

J Hand Surg Eur Vol. 2024 Sep 24:17531934241279921. doi: 10.1177/17531934241279921. Online ahead of print.

Abstract

A positive ulnar fovea sign is usually considered to be specific for foveal disruption of the distal radioulnar ligaments. A retrospective review was done of 73 patients with a positive ulnar fovea sign. Only 21 patients had a foveal tear on arthroscopic examination.Level of evidence: IV.

Keywords: Wrist; arthroscopy; fovea sign; triangular fibrocartilage complex.