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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To help your healthcare provider give you an accurate diagnosis, give them as much detail as possible about your injury. Recall what happened when you first felt the symptoms, when they were the most intense, what helped relieve them, and so on.‌

These two sub classes can also be treated by arthroscopic repair, 38 , 39 , 40 but we have limited experience of repairing them. Trumble and colleagues 39 have published thier technique of repair of radial sided tear arthroscopically. Thet utilized a modified technique of open repair of 1D tears described by Cooney and colleagues. 41 Another simple and reliable test to assess DRUJ laxity is the ballottement test. 7 This test involves antero-posterior and postero-anterior translation of the ulna on the radius passively in a neutrally rotated forearm. Abnormal translation of the ulnar head suggests a complete TFCC disruption. While repeating the test in full supination, comptence of dorsal component of DRUJ ligaments, and in pronation, of the volar components can be tested separately.Abbasi, D., & Vitale, M. (2019). TFCC Injury. Retrieved from https://www.orthobullets.com/hand/6047/tfcc-injury

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 Acute TFCC tears don’t have any long-term complications. If you take the proper steps to heal your injury, you can resume normal activities after a few months.‌ The extensor carpi ulnaris relies on the TFCC for movement, and thus alteration of the motion of the extensor carpi ulnaris may lead to abnormal force through the TFCC, predisposing it to injury [2] During an arthroscopy, a surgeon will make a number of small incisions on the outer edge of the wrist, which allows them to repair the damage to the TFCC. Sometimes, they may also shorten the ulna to alleviate symptoms.Common surgical options include arthroscopic repair, arthroscopic debridement, ulnar shortening, and the Wafer procedure. 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.

Right: x-ray from Radiopaedia.org showing a relatively long ulna bone compared to the radius bone What are the implications of a TFCC tear? These injuries are managed initially by modification of daily activities to avoid aggravation of pain and injury, by complete abstinence from sporting/gym/yoga maneuvers which involve stressing the wrist joints, temporary splint or cast immobilisation are also used along with non-steroidal anti-inflammatory medication.The best place to palpate the TFCC is the soft spot on the volar aspect of wrist distal to ulnar head between the ulnar styloid, FCU and pisiform. Tay etal. 6 described the “ulna fovea sign” which is positive when pain is elicited on plapation of this critical area labelled as fovea. When positive, it is a reliable test to diagnose tear of the ulno-triquetral ligament tear or disruption of the foveal attachment of the TFCC. This test has high sensitivity of 95.2% and a specificity of 86.5%. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. We avoid using tertiary references. We link primary sources — including studies, scientific references, and statistics — within each article and also list them in the resources section at the bottom of our articles. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. 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.‌ This paper is a case study of a subject with a magnetic resonance imaging-confirmed TFCC tear. As an alternative to surgery, he consented to wear a novel brace for 12 weeks after conservative management of his injury had failed. His recovery from injury was monitored with a weight-bearing tolerance test and the disabilities of the arm, shoulder and hand (DASH) outcome measure. 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.