Wrist Pain from TFCC Injuries or Tears
Posted on Tue, Jul 28, 2009 @ 11:47 AM
The Triangular Fibrocartilage Complex (TFCC) is a group of ligaments and cartilage on the ulnar (little finger side) of the hand. Cartilage is a firm rubbery tissue that cushions the bones. The TFCC ligaments attach the cartilage to the small wrist bones which also suspend the ends of the two forearm bones, the ulna (on the little finger side of the forearm) and the radius (on the thumb side).
The most common symptoms of a TFCC problem are wrist pain on the little finger side of the wrist with a clicking or popping sound when moving the wrist or rotating the forearm. Wrist pain is generally felt when gripping tightly or when pushing on the hand to raise up from a chair.
TFCC problems can be caused by a fall on an outstretched hand (a "FOOSH") or simply degeneration from overuse and the aging process. Athletes, particularly gymnasts who weight bare on their hands, are prone to TFCC problems.
Treatment for a TFCC problem includes splinting the wrist for a period of time to reduce symptoms followed by a program of range of motion exercises to restore motion and strengthening. Initial splinting for rest includes an immobilizing wrist splint. A splint that is trimmed to allow the fingers to move freely makes it easier to wear without having to remove it for daily activities. Splints with D-ring straps that secure the splint firmly are also recommended.
There are only a few splints designed specifically to address TFCC problems. The 3pp Carpal Lift supports the ulnar carpal bones to realign the wrist and relieve stress on the TFCC. A pad cushions the palm of the hand and two straps lift the carpal bones into place. This splint can be worn during activity and is recommended for incomplete tears to allow healing and when surgery is not needed or is delayed. Another splint is called the Wrist Widget and it attempts to relieve the problem by strapping the ends of the forearm bones together to prevent the displacement caused by a TFCC tear.
TFCC problems can be very persistent and rarely go away by themselves. An orthopedic surgeon who specializes in hand and wrist problems can diagnose the condition and direct a proper treatment program.
Author: Julie Belkin