Description The triangular fibr...
Description
The triangular fibrocartilage complex (TFCC) in the wrist consists of cartilage and ligaments and is located on the side of the wrist near the little finger (ulnar side). The TFCC helps the wrist to move normally and stabilizes the bones of the wrist. An injury, usually from a fall, can occur to the TFCC resulting in an over stretching of the ligament or cartilage (sprain), or a tear of these structures. Some injuries to the TFCC can result in persistent pain and swelling (chronic injury).
Symptoms
Pain and clicking is experienced in the area of the wrist closest to the little finger. Other associated symptoms may be swelling, decreased wrist movement (range of motion / ROM) and decreased strength.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. An x-ray may be done to rule out a bony injury. An MRI with or without contrast is needed to identify specific ligament and cartilage injury to determine the severity of the damage.
Tests:
Magnetic resonance imaging (MRI)
Specialists:
Orthopedic Surgery, Hand Surgery
Workup:
A history and physical exam will be performed. An x-ray may be done to rule out a bony injury. An MRI with or without contrast is needed to identify specific ligament and cartilage injury to determine the severity of the damage.
Tests:
Magnetic resonance imaging (MRI)
Specialists:
Orthopedic Surgery, Hand Surgery
Treatment
Therapy depends on the symptoms and the extent of damage. Treatment includes rest, ice, compression, and elevation (RICE). Some patients may also benefit from immobilization with a splint or cast. If symptoms persist other treatment options include physical therapy, cortisone injection, or surgery.