The triangular fibrocartilage complex (TFCC) is a small piece of cartilage and ligaments on the little-finger side of the wrist, located just past the end of the forearm bone (ulna). Cartilage is a tough rubbery tissue that acts as a cushion for the joint. The ligaments are strong bands of tissue that attach the cartilage to bones in the wrist. The ligaments or cartilage can be torn during a wrist injury.
TFCC injuries are usually caused by:
Symptoms include:
Your health care provider will ask about your symptoms and examine your wrist and hand.
Among tests your provider may order are:
Arthroscopy may be necessary to diagnose the tear. Arthroscopy is a surgical procedure in which a small fiber-optic scope is inserted into your wrist so your doctor can look inside your wrist.
The treatment of TFCC injuries include:
A complete tear may require surgery. Many tears become painless with rest and time even if they don't actually heal.
The goal of rehabilitation is to return you to your sport or activity as soon as is safely possible. If you return too soon you may worsen your injury, which could lead to permanent damage. Everyone recovers from injury at a different rate. Return to your sport or activity will be determined by how soon your wrist recovers, not by how many days or weeks it has been since your injury occurred. In general, the longer you have symptoms before you start treatment, the longer it will take to get better.
You may return to your sport or activity after your wrist injury when the injured wrist has full range of motion without pain. Your health care provider may allow you to return to competition with your wrist taped or in a brace. Your injured wrist, hand, and forearm need to have the same strength as the uninjured side. There must not be any pain when you do activities such as swinging a bat or a racquet or tumbling in gymnastics.
Many injuries are caused by falls or blows that cannot be prevented. In racquet sports it is important to use good technique to prevent injury.