What is the fastest way to heal a TFCC tear?
You might need to wear a cast or splint to prevent your wrist from moving. Your wrist specialist will also likely recommend physical therapy. This involves doing gentle exercises to rebuild strength in your TFCC. If non-surgical treatments don’t provide any relief, you may need surgery to repair the tear.
What is the most common Moi of the TFCC?
As mentioned above, the TFCC complex stabilizes the wrist at the distal radioulnar joint. It also acts as a focal point for the force transmitted across the wrist along the ulnar side during weight bearing activities. Traumatic injury (such as a fall onto an outstretched hand) is the most common mechanism of injury.
Does TFCC need surgery?
TFCC tears often get better without treatment, but a person will need to avoid using their wrist while the injury heals. For severe or persistent tears, a doctor may recommend surgery or physical therapy.
How do you prevent TFCC?
To help prevent a TFCC tear, your physical therapist may advise you to:
- Avoid falling on your hand.
- Avoid repetitive, high-impact activities using the hands.
- Use a brace or taping.
- Gradually increase any athletic activity, rather than suddenly increasing the activity amount or intensity.
What is the DRUJ?
What is Distal Radioulnar Joint (DRUJ) Instability? Distal radioulnar joint instability is the abnormal orientation or movement of the radius and ulna bones at the wrist in relation to one another. Injury to the tendons, ligaments and/or muscles stabilizing the joint may cause partial or complete dislocation.
Why is my TFCC not healing?
The cartilage and ligaments composing the TFCC are prone to degeneration and tearing. They do not have a good blood supply and therefore, injuries do not heal well.
What happens if a TFCC tear goes untreated?
Triangular fibrocartilage complex injury (TFCC) complications. If left untreated, a complete tear will lead to persistent instability.
How successful is TFCC surgery?
Acute peripheral TFCC tears which have been repaired within 3 months of injury give 60-90% good- excellent results, with 80-90% grip strength and range of motion compared to the contralateral side. Delayed repairs give less predictable results.
How do I strengthen my TFCC?
Strengthening exercises
- Wrist flexion: Hold a can or hammer handle in your hand with your palm facing up. Bend your wrist upward.
- Wrist extension: Hold a soup can or small weight in your hand with your palm facing down.
- Grip strengthening: Squeeze a soft rubber ball and hold the squeeze for 5 seconds.
What does dorsal subluxation mean?
The cause for dorsal subluxation is extreme pronation and extension, with a strengthened extensor carpi ulnaris and ulnar carpal ligaments, which pull the ulnar head out through the dorsal capsule. Triangular fibrocartilage complex avulsion and weaking of the palmar radioulnar ligament will allow this dislocation.
How do you fix DRUJ?
Treatment include splinting, ORIF of fractures and repair of torn ligaments and TFCC by arthroscopy or open methods. In late presentations, instability is addressed by various techniques which have been described. DRUJ arthroplasty is emerging as a treatment in cases of arthrosis of the joint.
How are traumatic foveal TFCC tears treated by a single surgeon?
Between 2003 and 2014, 37 patients with traumatic foveal TFCC tears were surgically treated by a single surgeon (HM) using an open method via either a palmar or a dorsal approach. Patients with a fresh or chronic TFCC foveal tear with a dynamic DRUJ instability were candidates for the open repair procedure.
What is the morphology of the proximal portion of the TFCC?
The proximal portion of the TFCC reinforced the hammock structure which in turn supported the carpus. The morphology of the proximal portion of the TFCC was categorised as fan shape, V-shape or funnel shape in appearance [Fig 8]. (4) Its volar and dorsal margins were found to be thick and serve as stabilizing ligaments.
What is the function of TFCC 5?
5. Ulnar collateral ligament (UCL). TFCC plays a vital role in maintaining distal radio-ulnar joint (DRUJ) stability. The TFC (Triangular fibrocartilage) consisting of dorsal and volar radio-ulnar ligaments, the fibrocartilage disc and meniscal homologue serves as intrinsic stabilizers to the DRUJ.
What is the triangular fibrocartilage complex (TFCC)?
The Triangular fibrocartilage complex (TFCC) is an incredibly complex structure that provides intrinsic stability to the distal radioulnar joint and the ulnocarpal aspect of the wrist. It is named so because of its triangular anatomic as well as its structural shape (Figure 1).