Triangular Fibrocartilage Complex (TFCC) Tears and Treatment

What Is the TFCC?

The TFCC is a complex structure of cartilage and ligaments located on the ulnar (pinky) side of the wrist. It acts as a cushion between the small wrist bones (carpals) and the ends of the forearm bones (ulna and radius). The TFCC also provides stability to the wrist during gripping and rotational movements.

Causes of TFCC Tears

TFCC tears can result from:

• Trauma: A fall on an outstretched hand, twisting injuries, or direct impact to the wrist.
• Repetitive Motion: Overuse from activities that involve repetitive wrist rotation or heavy lifting.
• Degenerative Changes: Wear and tear over time, particularly in individuals with ulnar variance (a longer ulna bone).
• Sports Injuries: Common in athletes participating in sports such as tennis, golf, or gymnastics.

Symptoms of a TFCC Tear

Common symptoms include:

• Pain on the ulnar side of the wrist, especially with twisting or gripping.
• Swelling and tenderness near the wrist joint.
• Clicking, popping, or grinding sensations during wrist movement.
• Weakness or instability in the wrist.
• Difficulty performing tasks that involve rotation or weight-bearing on the wrist.

If you experience these symptoms, a thorough evaluation by our specialists can confirm the diagnosis and guide your treatment.

Diagnosing a TFCC Tear

At Midwest Orthopaedics at Rush, diagnosing a TFCC tear involves:

• Medical History and Physical Exam: Assessing symptoms, wrist stability, and range of motion.
• Imaging Studies: X-rays to check for bone abnormalities and MRI (often with contrast) to visualize the TFCC and surrounding structures.
• Diagnostic Arthroscopy: In some cases, minimally invasive wrist arthroscopy is used to directly inspect the TFCC and confirm the diagnosis.

Treatment Options for TFCC Tears

Our specialists provide comprehensive care for TFCC tears, offering both non-surgical and surgical options tailored to your condition and lifestyle.

Non-Surgical Treatments

• Rest and Immobilization: Wearing a wrist splint or brace to reduce stress on the TFCC and allow healing.
• Medications: Anti-inflammatory drugs to reduce pain and swelling.
• Physical Therapy: Exercises to strengthen the wrist and improve stability.
• Injections: Corticosteroid or platelet-rich plasma (PRP) injections to relieve pain and promote healing.

Surgical Treatments

If non-surgical treatments do not provide sufficient relief or if the tear is severe, surgery may be recommended. Surgical options include:

• Arthroscopic Repair: Stitching the torn edges of the TFCC back together using minimally invasive techniques.
• Arthroscopic Debridement: Removing damaged or frayed tissue to alleviate pain and improve function.
• Ulnar Shortening Osteotomy (if applicable): Correcting ulnar variance to reduce stress on the TFCC in cases of chronic or recurrent injuries.

Recovery and Rehabilitation

Recovery from a TFCC injury depends on the severity of the tear and the chosen treatment approach. Key aspects of recovery include:

• Immobilization: Wearing a splint or cast to protect the wrist during healing.
• Physical Therapy: A structured rehabilitation program to restore strength, flexibility, and range of motion.
• Gradual Return to Activity: Resuming daily activities and sports under the guidance of your care team.

Most patients experience significant improvement within weeks to months, with full recovery taking longer for surgical treatments.

Why Choose Midwest Orthopaedics at Rush?

Midwest Orthopaedics at Rush is a leader in hand and wrist care, offering state-of-the-art technology and minimally invasive techniques. Our fellowship-trained specialists are dedicated to providing personalized, patient-centered care to ensure optimal outcomes. Whether you’re an athlete or someone seeking to regain wrist function for everyday activities, we’re here to help.