Triangular Fibrocartilage Complex (TFCC) Injury

The Triangular Fibrocartilage Complex or TFCC is a small group of structures within the ulnar side of our wrist. The TFCC stabilises and distributes load between our wrist and hand. Irritation or tear of the cartilage may lead to pain in this region. A quick test which might help you diagnose a TFCC injury can be found in the link below:

Wrist Care for TFCC Injury Recovery

Depending on the severity of injury to the TFCC, management of this condition usually involves avoiding aggravating positions and strengthening our wrist to offload the pressure on the irritated cartilage. There are a couple of taping techniques that can also be used to offload our TFCC while playing sport. Find an example in the link below:

Causes of TFCC Injuries

Triangular Fibrocartilage Complex (TFCC) injuries typically result from trauma or repetitive stress. Common causes include wrist fractures, falls onto an outstretched hand, or sports-related activities like tennis or baseball. Additionally, age-related wear and tear can lead to degenerative tears in the TFCC, particularly more commonly in individuals over 40. Understanding the underlying cause of the injury helps determine the most suitable approach for treatment and rehabilitation.

Symptoms of TFCC Injury

The primary symptoms of a TFCC injury include wrist pain, particularly on the ulnar side, which worsens with twisting or gripping movements. Swelling, limited range of motion, decreased grip strength, and a sense of wrist instability may also accompany the injury. People may experience weakness or discomfort when lifting objects or performing daily tasks. If left untreated, these symptoms can worsen and lead to chronic pain or joint instability.

TFCC Injury Treatment Options

Treatment for a TFCC wrist injury depends on the severity of the damage. Conservative methods include rest, ice, and anti-inflammatory medications to reduce pain and swelling along with taping and bracing. For more severe injuries, hand therapy may be recommended to restore strength and function and potentially, an injection may be considered to manage symptoms. In cases of significant tears, surgical intervention such as arthroscopic repair or debridement may be necessary to repair the TFCC and stabilise the wrist joint.

Recovery and Rehabilitation

Recovery from a TFCC injury typically involves a combination of rest, rehabilitation, and gradual strengthening exercises. Initial care focuses on pain management and reducing inflammation, and restoring wrist stability. As healing progresses, physical therapy helps restore mobility, strengthen the wrist, and prevent future injuries. The duration of recovery varies depending on the injury's severity, but full rehabilitation can take several weeks to months for more severe cases.

Prevention Tips

To prevent TFCC injuries, it is essential to avoid overexerting the wrist and incorporate proper techniques during physical activities. Wearing wrist supports or braces during sports can provide additional protection. Regular wrist strengthening exercises, use of ergonomic techniques during lifting and daily activities, and avoiding repetitive motions can significantly reduce the risk. Additionally, maintaining overall joint health and flexibility can help prevent TFCC-related injuries in the long term.

For more information or guidance on physiotherapy treatment, contact us at (08) 8267 6432 or email us at physio@bodyfit.life.

Written By:

Luke Chetcuti,

Sports Physiotherapist, Body Fit Physiotherapy