WristWidget® (Black Adjustable Wrist Brace for TFCC Tears, One Size fits most. For Left and Right Wrists, Support for Weight Bearing Strain, Exercise

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For management purposes we follow the Palmer classification. Initial treatment of all types of TFCC injury includes rest, activity modification, splint, physical therapy, and corticosteroid injections. In case of failure of conservative treatment to give relief or in tears with joint instability early surgical intervention is recommended. Choice of treatment is based on type of lesion and may include open or arthroscopic repair, arthroscopic debridement, ulnar shortening, and the Wafer procedure. Hogrefe, C. (2016). Wrist-TFCC Compression Test. Retrieved from https://www.youtube.com/watch?v=8Ru0RUsEoKc

After 4 weeks: the wrist is placed in a short arm splint or Versa wrist splint, which allows progressive motion to the wrist. Ulnar carpal impingement: Differentiate because this is commonly a result of ulnar shortening due to surgical resection from a prior injury.

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Post-operative complications like infections, hypertrophic scar, tendon injury, nerve injury, reflex sympathetic dystrophy, and joint stiffness can occur with arthroscopic management. Another major risk is of iatrogenic instability following aggressive debridement and during wafer’s procedure.

If a healthcare professional decides that you have a TFCC tear, there are a few ways you can help it heal. To relieve your pain, you can do the following: Six months of conservative treatment is reasonable if there is not DRUJ (distal radioulnar joint) instability. [2] Hypothenar hammer syndrome: Differentiate because there may be discoloration, fingertip ulcers, or splinter hemorrhages on the fourth or fifth digits. Angiogram may be able to diagnose this condition.

Oppo Warming Wrist Wrap

In gymnastics the TFCC can be injured through overuse injury (both support skills and hanging elements). With repetitive weight bearing (both compressive and tensile), this area can become inflamed and tendonitis/tendonosis can develop in the anchoring wrist ligaments (often misdiagnosed as a wrist sprain). [7] The last proactive test is called the “pressed” test. The client sits on a chair with hands grasping the edges of chair. The client is directed to weight bear on extended wrists as they push themselves up off of the chair. If pain in ulnar region occurs, the test is considered positive.

The TFCC is load-bearing, meaning that it remains under stress and has to bear weight often. It stabilizes the wrist and allows your wrist to bend in six different directions. This is why it’s frequently used.‌ Corticosteriod injection are also used in conjunction with physical therapy in grossly symptomatic patients. If there is a large tear to the central area of the TFCC then surgery is more likely to be required, as the central area has no blood supply and so has a much reduced capacity to heal. If non-surgical treatment is not successful then surgery is done arthroscopically (using a small telescope that is inserted inside the joint) and the tear is cleaned up (“debrided”). Leger AB, Milner TE. , Muscle function at the wrist after eccentric exercise, Medicine and Science in Sports and Exercise, 2001;33:612–20. Abbasi, D., & Vitale, M. (2019). TFCC Injury. Retrieved from https://www.orthobullets.com/hand/6047/tfcc-injuryWadsworth, C., The wrist and hand examination ans Interpretaion, J. Orthopedic and sports physical therapy, 1983, 108-20

A debridement is a surgical option that induces bleeding to stimulate healing. Debridement has beneficial outcomes for central TFCC tears but has been shown to have worse outcomes in degenerative tears or patients with higher positive ulnar variance. Corticosteroid injections or platelet rich plasma therapy can also be utilized in recalcitrant cases. Physical therapy to prevent stiffness and gain range of motion is instituted once discomfort due to acute trauma or inflammation has subsided. Strengthening exesices are usually begun after 6 weeks of successful recovery. In many cases, a TFCC tear will heal on its own. However, a person will need to avoid using the affected wrist to prevent further injury and to allow it to heal properly. Rettig AC, Athletic Injuries of the wrist and hand, part 1: traumatic injuries of the wrist. Am J Sports Med 2003:31(6):1038-48 Tears can be located in the ulnar or central portion of the ligament. Depending on the severity of the tear they are typically done either athroscopically or open. The rehab varies based on the type of repair and the amount of initial damage.Common surgical options include arthroscopic repair, arthroscopic debridement, ulnar shortening, and the Wafer procedure.