Does a central tear to the articular disc of the tfcc as well as effusion and two ganglion cysts usually require surgery. i have a lot of painful popping in my hand amd wrist. also this is my dominant hand?

if it is painful and function limiting the tfcc central tear often requires arthroscopic debridement .Ganglion cysts do not require surgery unless they enlarge and become painful

Central tears in the articular disc of the tfcc become increasingly common as we age. If the tfcc tear is determined to be the source of your pain and it persists despite non-surgical treatment, then wrist arthroscopy and tfcc debridement can be very helpful. The ganglion cysts are less concerning. Let pain and function be your guide.