Best Practice Case Studies-Triangular Fibrocartilage Complex (TFCC) Injury

Pdf Summary

Triangular fibrocartilage complex (TFCC) injuries are a prevalent cause of ulnar (pinkie-side) wrist pain, often resulting from acute impacts or overuse, such as catching a falling object with an outstretched wrist or due to repetitive strain in sports like tennis and volleyball. Typical symptoms include pain at the end of the ulna on the wrist, discomfort when lifting heavy objects, and pain when turning the palm down or bending the wrist toward the pinkie side.<br /><br />To diagnose TFCC injuries, medical professionals perform physical exams that include analyses of the pain's location, wrist range of motion, strength, and bone interactions. Diagnostic imaging such as X-rays and especially magnetic resonance arthrography (MRA) is crucial for assessing TFCC tears. Selective injections can help distinguish TFCC pain from tendon issues.<br /><br />Treatment begins with conservative methods including rest, activity modification, and the use of a splint or cast. If these do not alleviate symptoms, evaluation by an orthopedic surgeon might be necessary. Injury prevention strategies encompass warming up with dynamic stretches, thorough rehabilitation programs, technical modifications to minimize wrist strain, and controlling sports training intensity. For youth, cross-training and limiting specialization in one sport are also recommended.<br /><br />To support recovery and prevent recurrence, players might start from "short-court" play, employ bracing or taping as needed, and gradually transition from external support to strengthening exercises.<br /><br />The American Medical Society for Sports Medicine (AMSSM), a multi-disciplinary organization of sports medicine physicians, underscores the importance of comprehensive care for athletes and active individuals, facilitating connections to specialists through www.amssm.org.

Meta Tag

Edition 2nd Edition

Related Case 2nd Edition, CASE 18

Topic Hand and Wrist

Keywords

2nd Edition, CASE 18

2nd Edition

Hand and Wrist

TFCC injuries

ulnar wrist pain

diagnostic imaging

magnetic resonance arthrography

conservative treatment

orthopedic surgeon

injury prevention

sports medicine

rehabilitation programs

American Medical Society for Sports Medicine