TFCC Tear symptoms and treatment. A TFCC tear is an injury to the triangular fibrocartilage complex, found in the wrist, between the end of the ulna bone and the carpals. TFCC tear explained. The triangular fibrocartilage complex consists of The triangular fibrocartilage disc. Ulna meniscus. Ulnar collateral ligament. Products, All Products Search for Sports Medicine, Reconstruction Hips, Reconstruction Knees, Advanced Wound Managment, Trauma and Extremities, ENT. The clinical description and video of the patients physical exam are consistent with an acute scapholunate ligament tear. Game Commands Mod. The video shown in the question stem. My Fitness Coach Ison on this page. Leading Wound Care Products provided by Smith Nephew Advanced Wound Management. The TFCC is a constellation of many structures. The Triangular Fibrocartilage Complex TFC or TFCC is a very common source of pain on the ulnar small finger side. Find treatment information for elbow, hand, and shoulder pain, including arthritis of the hand and tennis elbow, from the Tucson Orthopaedic Institute. Its function is to stabilize the radioulnar joint. TFCC tear symptoms. Symptoms of a TFCC tear include wrist pain on the little pinky finger side. There will be tenderness over the back of the wrist. Peripheral-Triangular-Fibrocartilage-Complex-Tears-1.jpg' alt='Tfcc Ligament Tear Repair' title='Tfcc Ligament Tear Repair' />Pain is worst on bending the wrist sideways so the little finger moves towards the forearm called ulna deviation. There is likely to be swelling in the wrist, reduced grip strength and sometimes a clicking sound or feeling when moving the wrist. TFCC tear explained. The triangular fibrocartilage complex consists of The triangular fibrocartilage disc. Ulna meniscus. Ulnar collateral ligament. Several carpal ligaments. Extensor carpi ulnaris tendon sheath. The function of this group of structures is to provide stability, cushioning and smooth movement at the wrist joint. If a TFCC tear is suspected visit a Doctor, who will examine the wrist for signs and symptoms of the injury. They will perform some manual tests which place stress on the complex, looking for the symptoms to be reproduced. An MRI scan is most effective at diagnosing this particular injury with a 9. An X ray may also be used to rule out fractures. Once the extent of the injury is known, a decision can be made regarding the best treatment options. A TFCC tear can be either traumatic from a specific injury, or degenerative. Traumatic injuries usually involve a compressive and twisting force and 5. Ulna or Radius. Falls onto an outstretched hand, with the palm down and wrist extended bent backwards are a common incident which may cause this injury. Sports in which this injury is common include racket and bat sports like tennis and baseball and gymnastics due to weight bearing on the hands. Degenerative tears occur due to repetitive loading over a long period and are usually in the older population. They may also occur as a result of a genetically longer Ulna which pinches on the cartilage complex. Treatment of TFCC injuries. In most TFCC tears, conservative treatment is successful. This involves immobilization in a splint for approximately 4 weeks. After this period a removable splint may be used which permits some movement. Anti inflammatory medication such as ibuprofen may be prescribed. Electrotherapy such as ultrasound may be used. Progressive mobility and strengthening exercises as pain allows. A corticosteriod injection may be given in some cases. Large tears, or degenerative injuries may require surgery. The procedure is usually done as an arthroscopy key hole. Adobe Dreamweaver Cs2 Portable Free Download on this page. It involves trimming the torn piece of cartilage. In cases where the ulna is too long, the end of the bone may be shaved away. The wrist is then immobilised for 2 4 weeks. A rehabilitation programme should be followed after this period, to regain full strength, mobility and co ordination. TFCC tear surgery. Mr. Elliot Sorene MBBS FRCS Tr Orth EDHS Consultant Orthopaedic, Hand Upper Limb Surgeon explains TFCC Surgery. There are a number of ligaments in the wrist, however the ligaments that are of most importance are the scapholunate ligament on the back of the wrist and what is known as the TFCC or triangular fibro cartilage complex. This is a combination of ligaments and cartilage which holds together the radius and the ulna and is responsible in part for the stable rotation of the forearm. A twisting injury can cause damage to the TFCC. Both injury to the scapholunate ligament and TFCC are managed by first making a correct diagnosis which includes taking a full history of the patient in relation to the injury. These ligament injuries are not seen on X rays so an MRI scan would be needed to see the soft tissue damage. If the injury is mild then it will be treated conservatively with rest, ice, splinting the wrist followed by physiotherapy. If however the injury is more severe then an arthoscopic evaluation of the wrist would be required which is an operation to examine exactly what the damage to the wrist is. Keyhole surgery is done and a very small camera is inserted into the back of the wrist to image the ligaments and examine the injury. These ligaments can then be tightened up and repaired with the minimum of invasive surgery. If there is a total disruption or tear of the ligaments then it may not be possible to repair them with keyhole surgery. Occasionally one needs to undertake an open technique and sometimes us a piece of tendon to repair the damage. This is a complex subject but modern surgical techniques enable high level sports people to return to full fitness in the minimum of time.