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TFCC is also known as the triangular fibrocartilage complex, and it affects the area between one’s radius and ulna. These two bones make the forearm. The TFCC is made of various ligaments and tendons besides cartilage. Besides helping the wrist move and stabilize the forearm bones, one grasps something with their hand or rotates the forearm. A type of injury to the region is known as TFCC tear.

Symptoms of TFCC tear:

Pain is one of the most common symptoms of a TCC tear. It can occur along the wrist and may radiate throughout the entire wrist. This pain can be persistent or may arise when the wrist is moved or pressure is applied. Other symptoms include:

  • Instability
  • Weakness
  • Tenderness
  • A clicking or popping sound when moving the wrist
  • Swelling

The causes of TFCC tear:

Type 1 TFCC tears are primarily caused by injuries, such as falling or landing on an outstretched hand, which can damage the cartilage, tendons, or ligaments in the TFCC. 

Type 2 TFCC tears result from gradual cartilage breakdown in the TFCC due to aging or underlying conditions such as rheumatoid arthritis or gout.

TFFC tear test:

The Triangular Fibrocartilage Complex (TFCC) is often diagnosed using various tests, including the fovea test, also known as the ulnar fovea sign. During this test, a medical professional applies pressure to the outside of the patient’s wrist and asks if there is any tenderness or pain. They may also perform the test on the unaffected wrist for comparison.

Additionally, patients are asked to perform several wrist movements, such as rotating their forearm or moving their hand away from their thumb.To rule out any fractures in the forearm or hand, medical professionals often use X-rays.

Surgery:

The surgery to treat TFCC (Triangular Fibrocartilage Complex) injuries is often performed using minimally invasive arthroscopy. During this procedure, the surgeon repairs the damaged part of the TFCC through small incisions around the wrist.

In some cases, a traditional open surgery may be necessary. After surgery, the patient will need to wear a cast to immobilize the wrist for at least six weeks. Once the cast is removed, patients must undergo physical therapy to regain wrist strength and functionality. Additionally, specific exercises are recommended to facilitate a quicker recovery.

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