TFCC Tears and Ulnar sided Wrist Pain


TFCC (triangular fibrocaIMG_2321 - Copyrtilaginous complex) tears are relatively common but not all are symptomatic. They can be caused by twisting injuries (tennis players) and present with pain on the ulnar aspect of the wrist.

The majority of TFCC tears will not require any surgical treatment and will setlle down with minimal treatment. However a small proportion, depending on the type, will require intervention.

The tear is diagnosed clinically and MRI scanning. It can be degenerative (wear/tear related) versus traumatic in nature. The latter are more amenable to surgery although the former may be debrided with success.

Surgery involves arthroscopic (keyhole) assessment and subsequent repair. This will involve a small incision (not keyhole) on the ulnar side of the wrist and repair using an anchor suture (metallic stud buried in the bone). Post-operatively an above elbow splint is applied for a total of 6 weeks. Your surgeon will discuss this with you.