TFCC stands for Triangular Fibrocartilage Complex. Like any ligamentous injury, a TFCC tear can be separated into grades of levels. Icing 3-5 times a day is used to reduce swelling for the first few weeks. It’s basically a triangular-shaped spacer with ligaments that lives on the pinky finger (ulnar) side of your wrist (1). Triangular Fibrocartilage Complex Repair and Ulna Variance: A Systematic Review. Surgical treatment will “clean” the damaged cartilage by tidying up the torn edges of the cartilage, or it will repair the tear entirely. F. At the completion of the procedure, the edges of TFCC tear are trimmed and cauterized to minimize the risk of future tearing or fraying. Traditional surgery - some TFCC tears may not be amenable to treatment with arthroscopy, and may require repair through an incision on the back of the wrist. If you sustain an injury to this part of your wrist, you may experience pain along the outside of the wrist as well as it may limit your range of motion in your hand. Because the TFCC connects, protects and cushions the wrist and hand while gripping, a TFCC tear or TFCC injury can lead to chronic pain unless properly treated. https://www.ncbi.nlm.nih.gov/pubmed/2363779, (5) Cooney WP, Linscheid RL, Dobyns JH. It is important to completely eliminate wrist motion for at least 4 weeks to optimize healing success. The TFCC can become torn with a fall on an outstretched hand, other trauma, or just wear and tear. Surgery is indicated in-Type 1- acute unstable injury Triangular fibrocartilage tears. A Systematic Review of Outcomes after Arthroscopic Débridement for Triangular Fibrocartilage Complex Tear. Dr. Schreiber is a board certified orthopedic surgeon specializing in hand, wrist, and elbow conditions. An MRI is performed and shows a triangular fibrocartilage complex (TFCC) injury. Specifically, tears that fail to improve with nonsurgical treatment, unstable TFCC injuries, and injuries associated with a positive ulnar variance (longer ulna bone), may be candidates for surgical intervention.1 Most surgeons are using wrist arthroscopyto evaluate the torn … Large tears or degenerative injuries may require su… 1996;12:588–597. As with many injuries or conditions, the ideal option is to treat TFCC injuries conservatively to avoid unnecessary surgery. I had TFCC repair in Oct 2007 and was in cast for 6 weeks and then had therapy and kept recovering well till June of 2008 and then while vaccuming my wrist starting hurting again and have developed similar symptoms like the original injury. TFCC tears can be painful and frustrating and many times surgery is recommended. 2018 Nov;34(11):2994-2998. doi: 10.1016/j.arthro.2018.05.044. Electrotherapy such as ultrasound may be used. An injured TFCC causes pain and may produce a clicking noise when the wrist is moved in certain ways. Mild injuries of the TFCC may be referred to as a wrist sprain. I never got surgery, why? Some areas of the TFCC have excellent blood supply and are amenable to healing.