Hand Conditions

TFCC Injury

Definition:

The TFCC (Triangular Fibrocartilage Complex) is soft tissue that surrounds and stabilizes the DRUJ (distal radioulnar joint).  It consists of a wedged shaped central disk and superficial and deep radioulnar ligaments.

Symptoms:

  • Ulnar-sided (little finger side) wrist pain
  • Increases with forearm rotation and gripping
  • Pain can be deep and aching in quality
  • Pain may be associated with audible clicking

Pathology:

  • Pain with the TFCC can be traumatic or insidious (non-traumatic)
  • Traumatic rotational forearm/wrist injuries often occur during athletic activity and car accidents
  • Non-traumatic TFCC:

Treatment:

Non-surgical

  • Rest, activity modifications, removable splint, ice and NSAIDs (ibuprofen)
  • Corticosteroid injection

Surgical