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Doctor insights on: Medicine For Triangular Fibrocartilage Complex Injury

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Triangular fibrocartilage complex injury?

Triangular fibrocartilage complex injury?

TFCC: Tfcc is a small piece of cartilage in the wrist, at the end of the ulna. Injury is one of the most common causes of ulnar sided wrist pain. If pain has been present for an extended period, see a hand surgeon for diagnosis and management. ...Read more

Dr. Warren Foster
1 doctor shared a insight

Injuries (Definition)

An injury, of any severity, is a condition in which a person has damage to any part of his body. Examples of major injuries include gunshot wounds, knife wounds, large burns, severed ...Read more


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What is a "triangular fibrocartilage complex injury"?

What is a "triangular fibrocartilage complex injury"?

TFCC: Initial management may include application of a muenster brace to immobilize the wrist and forearm. A cortisone injection may be helpful in conjunction. If symptoms persist, MRI arthrogram may be helpful. If tear is peripheral, wrist scope and repair. If tear is central, wrist scope and debridement. Many times, degenerative tear is associated with longer ulna. Shortening of ulna may be done too. ...Read more

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What is the definition or description of: Triangular fibrocartilage complex Injury?

What is the definition or description of: Triangular fibrocartilage complex Injury?

Injury to the tfcc: The triangular fibrocartilage is a small cartilage structure located on the small finger side of the wrist. It is composed of several distinct anatomical structures and is often referred to as the triangular fibrocartilage complex (TFCC). A TFCC injury means an injury to any or all of the distinct anatomical components that make up the TFCC. ...Read more

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What are the symptoms of a triangular fibrocartilage complex tear?

What are the symptoms of a triangular fibrocartilage complex tear?

Size of tfcc tear,: Location, ie in the central avascular part or the vascular periphery, instability, whther is acute (new) or chronic, anatomy differences all come in to play. Smaller acute tears in the periphery, not associated with instability lkely do the best. Therapy may help reduce symptoms and at times corticosteroid injections help too, but if tear is large or the ulna is unstable then may need surgery ...Read more

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Does it hurt to get a triangular fibrocartilage complex repair done?

Does it hurt to get a triangular fibrocartilage complex repair done?

Somewhat: Alll surgery hurts to one degree or another. Tfcc surgery/repairs are often done arthroscopically which would minimize the pain. Anticipate being immobilized in a splint and taking narcotic meds to control your pain symptoms for a couple of weeks. ...Read more

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Is the triangular fibrocartilage complex repair a risky thing to do?

Is the triangular fibrocartilage complex repair a risky thing to do?

Depends: It depends on the extent of disability and damage in the fibrocartilage itself and who is doing it. ...Read more

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Where do I go to get a triangular fibrocartilage complex repair done?

Where do I go to get a triangular fibrocartilage complex repair done?

Hand Surgeon: Typically, a hand surgeon does these types of repairs. You should seek out an orthopedic surgeon or plastic surgeon who has done a hand fellowship and can explain the treatment options to you. The repair is usually done arthroscopically. ...Read more

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Why did I get my triangular fibrocartilage complex (tfcc) tear in my wrist?

Why did I get my triangular fibrocartilage complex (tfcc) tear in my wrist?

2 main causes: Trauma such as a fall can cause a peripheral tear or central flap tear. Attrition tears can also occur from repetitive loading and overuse of the wrist. People with an ulnar positive variant (longer ulna than radius) are at greater risk for either type of tear. ...Read more

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How do you treat a tear of the triangular fibrocartilage?

How do you treat a tear of the triangular fibrocartilage?

Surg: This requires a visit to a hand surgeon and surgical repair if the diagnosis is correct and confirmed by mr. ...Read more

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If an MRI reveals an oblique tear through disc proper of triangular fibrocartilage, will playing tennis/ golf do further damage?

If an MRI reveals an oblique tear through disc proper of triangular fibrocartilage, will playing tennis/ golf do further damage?

Yes over time: If you are under 40 the tear is probably from repetitive trauma and will get worse over time with activities that cause ulnar deviation (towards the little finger). If older the tear is probably degenerative and may or may not get worse with use. ...Read more

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MRI of right hand shows perforation of the triangular fibrocartilage and degenerative changes of the triquetrum pisiform joint. Surgery only option?

MRI of right hand shows perforation of the triangular fibrocartilage and degenerative changes of the triquetrum pisiform joint. Surgery only option?

Not necessarily: I don't treat imaging studies but rather the clinical symptoms. Are you having pain in the wrist at times or is the pain continuous in nature? Is this your dominant hand? Also, does your wrist lock up on you or makes painful noises? If there is limited ROM, unbearable pain, and locking of the wrist, then surgery should be considered. Otherwise, consider PT, NSAID, and intrarticular wrist shot ...Read more

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Can chronic dehydration have something to do with cartilage damage, specifically triangular fibrocomplex cartilage? Tfcc degenerative tear.

Can chronic dehydration have something to do with cartilage damage, specifically triangular fibrocomplex cartilage? Tfcc degenerative tear.

Possibly: Chronic dehydration can affect cartilage, but it would have to be moderately severe, and for a few months. That could result in a tear. ...Read more

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What is the treatment for triangular fibrocartilage complex injury?

What is the treatment for triangular fibrocartilage complex injury?

TFCC: Initial management may include application of a muenster brace to immobilize the wrist and forearm. A cortisone injection may be helpful in conjunction. If symptoms persist, MRI arthrogram may be helpful. If tear is peripheral, wrist scope and repair. If tear is central, wrist scope and debridement. Many times, degenerative tear is associated with longer ulna. Shortening of ulna may be done too. ...Read more

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Tfcc injury 4 months ago. Should I take the surgery now? Or later?

Tfcc injury 4 months ago.  Should I take the surgery now? Or later?

Depends: Since your injury is 4 months old the need for surgery depends on how much your wrist bothers you. If your pain is infrequent, you may want to wait, but if you have pain every day, it is probably not going to get better without surgery. Surgery can be very helpful, but it often takes 3-4 months to fully recover. ...Read more

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Can a TFCC injury lead to arthritis? How?

Can a TFCC injury lead to arthritis? How?

Potentially: There is a term known as post-traumatic arthritis that can occur with an injury. The cartilage is the cushion in the joint that acts as somewhat of a shock absorber. In degenerative arthritis, it can simply be worn down over time. In post-traumatic arthritis. It can be injured and lose its ability to protect the joint from damage. ...Read more

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Will ultrasound help my tfcc injury heal?

Will ultrasound help my tfcc injury heal?

Doubtful, but...: I diagnose TFCC tears daily with MRI and CT arthrogram studies, and work closely with a large group of well-trained Hand Surgeons and PTs. Every therapy you can think of has been tried, and none seems to work very well. Severe pain is usually treated with ulnar shortening or surgery at the attachment sites of the TFCC. Sometimes, the pain resolves without surgery. But, it never hurts to try US. ...Read more

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Best cure for tfcc injury except surgery?

Best cure for tfcc injury except surgery?

Injection: If you are young and have a symptomatic TFCC tear diagnosed after a consistent history, physical examination and saline- enhanced MRI scan then arthroscopic repair or debridement(based on location) is the treatment of choice. If this is not available to you or you have to wait for surgery then an injection into this area w/ steroid/ Marcaine can be helpful until surgery can be done. Best of Luck ...Read more

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Is TFCC an injury to the ligaments or to the cartilage?

Is TFCC an injury to the ligaments or to the cartilage?

TFCC is both: It is a carticalginous strucutre that blends into ligmants. That is why it has "fibro" like a ligament. "Cartilage" and COMPLEX in its name. THe central disc part is cartilage that cushions but it has a thickened vascular rim that provdde ligamenteouis like structure, the ulnar ligmanets of hte wrsit and the tendin sheath of the ecu blend into this. Think of a sail with supports, rigging ...Read more

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Will physiotherapy help if my TFCC injury still hurts after 2 months?

Will physiotherapy help if my TFCC injury still hurts after 2 months?

Yes: after proper initial treatment physiotherapy can help with recovery ...Read more

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How will phisical therapy help my tfcc injury heal? Got it by hitting a heavy bag.

Muscles: Physical therapy helps by maintaining range of motion, by symptommatic treatment such as heat/ultrasound/massage, and by strengthening the muscles in the hand/wrist to optimize function of the hand/wrist around the injury. ...Read more

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My tfcc injury from hitting a heavy bag did not heal after 3 moths of immobilization. What does it mean?

My tfcc injury from hitting a heavy bag did not heal after 3 moths of immobilization. What does it mean?

May need surgery: It would seem somewhat unlikely that if your injury has not healed after 12 weeks of immobilization, that it would respond to further immobilization. You should discuss with your doctor, but surgery may be a consideration at this point. ...Read more

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How could a physical therapist help my tfcc injury heal?

How could a physical therapist help my tfcc injury heal?

Wrist exercises: Physical therapists will teach you how to perform safe wrist rotation exercises that can be performed as your injury heals. http://www.orthobullets.com/hand/6047/tfcc-injury, http://www.toc.md/exercises_wristhand.htm ...Read more

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Can scaphoid/tfcc/foosh injuries really be missed for 9 weeks? It's 10 now, could the E Danlos just be slowing healing time?

Can scaphoid/tfcc/foosh injuries really be missed for 9 weeks? It's 10 now, could the E Danlos just be slowing healing time?

Missed injuries: Many injuries described can take several weeks to identify. This can be for a variety if reasons including: the nature of initial or subsequent presentation, anatomic variance, time to identifiable diagnostic findings, and evolution of the pathology or injury. Scaphoid fractures often have negative X-ray until several weeks after fracture. E Danlos can delay healing b/o Type and collagen need. ...Read more

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How long should it take for a tfcc injury 2 completly heal?

How long should it take for a tfcc injury 2 completly heal?

2 - 3 months: Stable minor sprains in the tfcc can get better -- usually about 2, maybe 3, months. Unstable sprains or out-right tears usually need a surgery. From surgery, it is reasonably also 2 – 3 months. These can heal and can get better! It takes a good diagnosis and proper treatment by the doctor, and patience from the patient! ...Read more

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Is it ever too late to do a surgery for a tfcc injury? I have been trying conservative treatment for roughly 6 months with mild improvements so far.

Not really : Tfcc tears in young adults often don't heal and may require arthroscopic debridement vs. Repair w/ or without ulnar shortening. Your 6 months of conservative treatment should not cause any problems if your pain continues. Best of luck! ...Read more

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I have a tfcc injury. How can an MRI help the doctor?

I have a tfcc injury. How can an MRI help the doctor?

Details: The MRI can help your Doctor in planning treatment, and to confirm that the TFCC injury is present, and not any other injury with the same symptoms. For example, tendonitis or sprain of the ECU tendon can give sililar symptoms, but has a different treatment than a TFCC injury. And a tear within the TFCC can be at more than one location, and are treated differently depending on the site of injury. ...Read more

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I have a tfcc injury from hitting a heavy bag. Used a splint for 8 weeks, why is my joint hurting so bad now?

I have a tfcc injury from hitting a heavy bag. Used a splint for 8 weeks, why is my joint hurting so bad now?

MRI needed: TFCC tears are often quite "subtle" and are missed by ordinary x rays. An MRI is needed. You most likely have a tear of the ligament. See an Orthopedic surgeon in particular an upper extremity specialist if one is available.

Good Luck

Dr Z ...Read more