What is the Triangular Fibrocartilage Complex?
The TFCC makes it possible for the wrist to move in six different directions (bending, straightening, twisting, side-to-side and rotation in either direction). Injuries are usually in the form of a tear. A traumatic injury or a fall onto an outstretched hand is the most common cause of injury, but athletes such as tennis players or gymnasts are also at risk for TFCC injuries.
What is a Triangular Fibrocartilage Complex Injury?
Triangular fibrocartilage complex (TFCC) injuries of the wrist affect the little finger side of the wrist. The TFCC lies between the ends of the two forearm bones. The Triangular fibrocartilage complex (TFCC)It is triangular in shape and made up of several ligaments and cartilage.
Triangular fibrocartilage complex (TFCC) injuries involving the wrist typically impact the ulnar, or little finger side of the wrist joint. The TFCC itself is a crucial structure situated between the distal ends of the ulna and radius bones in the forearm. This complex, triangular-shaped structure is composed of a network of ligaments and cartilage that play a vital role in stabilizing the wrist and facilitating smooth, pain-free movement.
TFCC tears, a common type of injury, can result from various causes such as falls, repetitive stress, or degenerative changes in the wrist joint. When the TFCC is compromised, individuals may experience symptoms like wrist pain, clicking or popping sensations with movement, weakness, and loss of grip strength. Seeking prompt medical evaluation and appropriate treatment for TFCC injuries is essential to prevent further complications and promote optimal recovery of wrist function. Implementing interventions like splinting, physical therapy, or in more severe cases, surgical repair, can effectively address TFCC tears and restore wrist stability, ensuring a swift return to daily activities and sports participation. The intricate nature of the TFCC and its crucial role in wrist function highlight the importance of understanding its anatomy and the significance of timely intervention in the management of TFCC-related issues.
The TFCC makes it possible for the wrist to move in six different directions (bending, straightening, twisting, side-to-side and rotation in either direction). Injuries are usually in the form of a tear. A traumatic injury or a fall onto an outstretched hand is the most common cause of injury, but athletes such as tennis players or gymnasts are also at risk for TFCC injuries.
Triangular Fibrocartilage Complex Injury
The symptoms of a TFCC tear include:
- Pain along the little finger side of the wrist
- Clicking or popping of the wrist
- Pain with activity or rest
TFCC Injury Diagnosis
The diagnosis of this problem is based on a physical exam and MRI of the wrist. X-rays should be done to rule out fractures of the bones.
TFCC Treatment Options
The first treatment option involves stopping the activities that cause pain and using a splint, or cast, to immobilize the wrist. After four to six weeks, physical therapy can be started. The therapy can usually be completed in six weeks, and your child can return to his or her activities.
If conservative management fails to restore function and decrease pain, TFCC surgery can be considered. Surgical treatment is usually done with arthroscopy, and the TFCC tear is either repaired or removed depending on the location and the quality of the tissue. Bracing and physical therapy are recommended after the TFCC surgery. Unfortunately, although most athletes report improvement in their symptoms, many will have some mild residual pain in their wrist during sports.