Wrist Pain Treatment in Vikaspuri
TFCC (Triangular Fibrocartilage)
Complex)
Introduction
The triangular fibrocartilage complex (TFCC) is a load-bearing structure between the lunate,
Triquetrum, and ulnar head.
The function of the TFCC is to act as a stabilizer for the ulnar aspect of the wrist.
The TFCC is at risk for either acute or chronic degenerative injury.
Forced ulnar deviation and positive ulnar variation carry associations with injuries to the TFCC.
Patients with TFCC injury will present with ulnar-sided wrist pain that may present with clicking or
point tenderness between the pisiform and the ulnar head.
MRI imaging is useful as a preliminary diagnostic tool; arthroscopy is the diagnostic gold standard.
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Causes and symptoms.
The main symptom of a TFCC tear is pain along the outside of your wrist, though you might
also feel pain throughout your entire wrist. The pain may be constant or only appear when
you move your wrist or apply pressure to it.
Other symptoms of a TFCC tear include:
A clicking or popping sound when you move your wrist
Swelling,
Instability,
Weakness,
Tenderness,
There are two types of TFCC tears, depending on the cause:
- Type 1 TFCC tears. These tears are caused by an injury. For example, falling and landing on an outstretched hand can damage the cartilage, tendons, or ligaments in your TFCC.
- Type 2 TFCC tears. These tears are caused by the slow breakdown of the cartilage in your TFCC, usually due to age or an underlying condition, such as rheumatoid arthritis or gout.
Athletes who regularly rotate or put pressure on their wrists, such as tennis players or gymnasts, have a higher risk of developing a TFCC tear. You’re also at a higher risk if you’ve previously Injured your wrist.
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Treatment
The first step in treating TFCC tears is to temporarily stop doing any activities that cause wrist pain while the tear heals. You may need to wear a splint or cast to prevent your wrist from moving. Your doctor will likely recommend about six weeks of physical therapy. This involves doing gentle exercises to help you rebuild strength in your TFCC. If resting your wrist and physical therapy don’t provide any relief, you may need surgery to repair the tear.