Triangular Fibrocartilage Complex (TFCC)

Do you suffer from pain on the inside of your wrist? You could have a Triangular Fibrocartilage Complex (TFCC) injury. 

The TFCC is an important group of ligament and cartilage structures which serve to stabilise and support the wrist. Triangular fibrocartilage tears can occur when overload is applied to a hyperextended, pronated, and ulnar deviated wrist (e.g. landing on an outstretched arm). However, repetitive micro-trauma from continuous and rapid supination-pronation sports can also cause tears to the TFCC (e.g. swinging a baseball bat).

Triangular fibrocartilage injuries typically present as pain located on the inside of your wrist, worsened with gripping and loaded axial movements. Twisting your hand, lifting heavy objects, and bending at the wrist may reproduce these symptoms. The inside of your wrist near a bony prominence known as the ulnar styloid can be tender to palpate, and you may feel clicking with wrist movements.

What should I avoid doing? 

You may require a brief period of time away from sport and avoiding activities which cause discomfort. This is to allow time for the sensitive structures in your wrist to settle down and for rehabilitation to commence. Depending on the severity of your injury, a small brace may be appropriate to support the wrist as you complete everyday activities. 

Timeframe and treatment

Recovery depends on the severity of symptoms and how long it has been since the injury occurred. Surgery may be required if the TFCC has sustained a significant lesion, but often this is not necessary. Rehabilitation will focus on gradually strengthening the large and small supportive muscles of your hand and wrist over several weeks.

If you would like further information or an assessment of your wrist and hand, do not hesitate to get in contact with us so we can help tackle your symptoms.

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