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Triangular Fibrocartilage Complex (TFCC) Tear

A tear of the stabilizing structure on the ulnar side of the wrist.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ortopedi ve Travmatoloji department. Book Appointment →

What is Triangular Fibrocartilage Complex (TFCC) Tear?

The triangular fibrocartilage complex (TFCC) is a complex structure on the ulnar side of the wrist between the distal radius and ulna, consisting of the central disc, ulnar collateral ligament, palmar and dorsal radioulnar ligaments, and the ECU tendon sheath.

It is divided into type 1 (traumatic) and type 2 (degenerative) according to Palmer classification. The tear leads to ulnar-sided wrist pain, clicking, and loss of grip strength.

Ulnar fovea sign, press test, and TFCC stress test are used in clinical diagnosis. MR arthrography is the gold standard. Arthroscopy can be used for diagnosis and treatment.

Symptoms

Ulnar-sided wrist pain
Pain in gripping and twisting movements
Clicking in the wrist
Decreased grip strength
Restriction in forearm rotation
Ulnar fovea tenderness
Distal radioulnar joint instability

Risk Factors

Falling on outstretched hand
Ulnar positive variance
Distal radius fracture
Repetitive grasping activities
Racket sports
Advanced age degeneration
Golf and tennis

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • In ulnar-sided wrist pain
  • In loss of grip strength
  • In restriction of forearm rotation
  • If clicking symptoms are present
  • In unresponsiveness to conservative treatment

Treatment Methods

01
Long arm splint or cast for 6 weeks
02
NSAID drug
03
Ultrasound-guided corticosteroid injection
04
Arthroscopic debridement
05
Arthroscopic TFCC repair
06
Ulna shortening osteotomy (in ulnar positive variance)

Which Department to Visit?

You can visit our Ortopedi ve Travmatoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Ortopedi ve Travmatoloji Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.