Triangular Fibrocartilaginous Complex (TFCC) Tear

Functions —

1. Stabilises distal radio ulnar joint
2. ⁠supports wrist range of movements
3. ⁠acts as an shock absorber in the wrist joint
4. ⁠maintains forearm rotation
5. functions

Types of TFCC Tears:

1. Traumatic: Caused by injury or fall
2. Degenerative: Wear and tear over time
3. Chronic: Repetitive strain or overuse

Classification:

1. Palmer’s Classification:
   • Class 1: Traumatic tears
   • Class 2: Degenerative tears
2. Atzei’s Classification:
   • Grade 1: Minimal tear
   • Grade 2: Moderate tear
   • Grade 3: Severe tear

Symptoms:

1. Wrist pain or tenderness
2. Limited wrist mobility
3. Clicking or snapping sensation
4. Weakness or instability
5. Swelling or bruising

Diagnosis:

1. Physical examination
2. Imaging tests (X-ray, MRI, CT scan)

Treatment:

Conservative:

1. Rest and immobilization
2. Physical therapy
3. Pain management (medication, injections)
4. Activity modification

Surgical:

1. Arthroscopic repair- best method
2. Open repair
3. Reconstruction

Rehabilitation:

1. Immobilization (4-6 weeks)
2. Physical therapy (6-12 weeks)
3. Strengthening exercises
4. Gradual return to activities

Complications:

1. Chronic pain
2. Limited wrist mobility
3. Instability
4. Arthritis