What is a TFCC tear?

It is a condition marked by tears or damage to the triangular fibrocartilage complex (TFCC), a network of ligaments, tendons, and cartilage located in the ulnar wrist. This structure lends stability and flexibility to the wrist joint.

What are common causes?

TFCC tears can be caused by:
-Trauma, including bearing heavy loads, falls onto an outstretched hand, or twisting motions of the wrist
-Biomechanical changes due to aging
-Association with ulnar impaction syndrome

What are the typical symptoms?

Some common symptoms of TFCC tears are:
-Crepitus or clicking noise in the wrist
-Pain, often located on the ulnar side of the wrist
-Weakness and difficulty gripping
-Limited wrist movement, especially rotation

What diagnostic tests are usually performed?

The following diagnostic tests are employed for TFCC tears:
-MRI, which may depict TFCC abnormalities
-Ultrasound study, though less sensitive than MRI

What is the first line of treatment?

First-line treatment typically includes:
-Non-steroidal anti-inflammatory drugs (NSAIDs) for pain and inflammation
-Physical therapies aimed at restoring wrist mobility and strength
-Orthosis: Wrist splints, particularly for evening use
-Further therapeutic options might comprise steroid injections, or surgical repair in refractory cases. These interventions usually require specialist referral.

Definitive treatment?

Wrist arthroscopy!