Diagnosing And Treating TFCC Injuries
Posted on: 16 March 2021
The triangular fibrocartilage complex (TFCC) is a group of connective tissues in the wrist that are responsible for keeping the connection between the hand and arm stable. There are many ways problems in the TFCC can occur, such as injury or because of degenerative changes in the wrist. Once the problem is diagnosed, there are multiple strategies to reduce pain and improve function.
Symptoms
Pain in the wrist is the most common symptom. Since the TFCC is located on the pinky side of the wrist, this is usually where pain is felt. Pain can be especially worse with certain movements of the wrist, like bearing weight by carrying objects or when you rotate the wrist. Some people also experience popping, grinding, or other sounds and sensations in the wrist. Since the wrist is unstable, you may notice your hand is weaker on that side, meaning it is much harder to carry objects, either due to pain or the inability to lift much on that side.
Conservative Treatments
Conservative treatments are generally the first treatment given, unless there is significant damage to the TFCC, such as a major tear. Addressing pain can involve taking NSAIDs as needed. Some orthopedic doctors might also recommend steroid injections, which can be more powerful and last longer than the frequent use of NSAIDs. Bracing can be equally important to limit the range of motion in the wrist, which can prevent making the problem worse and allow some injuries to heal. There are various types of braces that can be helpful, and the one recommended by your doctor or selected by you might depend on how much function you need in your hands. For example, if you type frequently, it is best to choose a brace that only wraps around the wrist and looks more like a bracelet, which leaves your thumb and other fingers free.
Surgery
Surgery may be recommended for significant tears of the TFCC or injuries that do not improve with conservative treatments. The type of surgery and approach will depend on exactly where the tear occurs and the extent of the tear. For example, some tears can be repaired by smoothing the raw edges of the tear and giving it time to heal. In other instances, the tear may be located in an area without adequate blood flow, meaning it is unlikely to heal. Most TFCC surgeries are done arthroscopically, which is a minimally invasive procedure that limits the size of incisions in the wrist. Less commonly, the procedure may require an open surgery.
TFCC injuries can be quite painful and limit the use of your wrist. Many injuries can be successfully managed with conservative treatments, such as bracing, whereas more complex injuries often require surgery.
Contact an orthopedic physician to learn more about treating this type of injury.
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