(12) Roh YH, Hong SW, Gong HS, Baek GH. Triangular fibrocartilage tears. However, some areas with poor blood supply, and some large or chronic tears, may not heal even if properly immobilized. Patients without at least 3 months of documented postoperative follow up were excluded. I had TFCC repair in Oct 2007 and was in cast for 6 weeks and then had therapy and kept recovering well till June of 2008 and then while vaccuming my wrist starting hurting again and have developed similar symptoms like the original injury. First, you must realize that the TFCC is a bit like a knee meniscus, with a zone that has better blood supply towards the outside of the wrist and a zone with poor blood supply towards the inside. Lone Tree, CO 80124 Probe is placed in the TFCC tear, demonstrating a defect or hole in the joint. Management of TFCC tears is based on the symptoms, patient expectations, activity level, extent of tear and stability of the wrist joint. 403 Summit Blvd Broomfield, CO 80021 J Exp Orthop. Arthroscopy. In another, only 40% of patients were satisfied (7). Non-operative care is an option for a TFCC tear, but if the tear is extensive, surgery may be required. What is a TFCC tear and does it need surgery? Both can be done with open surgery or arthroscopy (using a “scope” as in the picture above). can tfcc tear heal without surgery . doi: 10.1097/PRS.0000000000003750, (9) Jung KJ, Nho JH2, Kim JH2, Kim BS3, Gong HS4. Surgical treatment will “clean” the damaged cartilage by tidying up the torn edges of the cartilage, or it will repair the tear entirely. Can a TFCC heal without surgery? After TFCC tear surgery, patients will wear a cast to keep their wrist, hand, and forearm stabilized. Wall Push-up is a good gentle weight-bearing exercises for TFCC rehabilitation, try to hold for 5 seconds for each repetition, 10 reps x 3 sets / day. This allows for excellent visualization of the inside of the wrist and assessment of injured structures. Like any ligamentous injury, a TFCC tear can be separated into grades of levels. If the TFCC displaces upwards and radially, this indicates a tear of foveal insertion of the TFCC or pc-TFCC tear. The TFCC, or triangular fibrocartilage complex, is a structure in your wrist. I stopped the training and try to rest etc. If this is the case, they usually recommend hand therapy to help you with pain management and strengthening. (OBQ13.65) A 30-year-old male laborer sustained a right wrist injury 9 months ago. As the name suggests, the soft tissues of the wrist are complex. As with many injuries or conditions, the ideal option is to treat TFCC injuries conservatively to avoid unnecessary surgery. In the more severe cases, surgery is an option to re-stabilize the TFCC and the wrist joint. Tears from injury can come from: A fall on the hand or wrist; A twisting injury (like a drill bit catching, causing a twist of the arm) Access all of our downloadable e-books from the Regenexx Library free of charge! B. The TFCC is part of an extensive group of ligaments that help stabilize both the small wrist bones and the ulna bone. A case study from 2016 suggests that TFCC tears that do not require surgery can take up to 12 weeks to fully heal. This involves immobilization in a splint for approximately 4 weeks. Open surgery. Clin Orthop Relat Res. Depending on the location of the tear in your TFCC, your physician may recommend surgery. Following surgery, a TFCC tear may take around 3 months to heal completely. About the Author. Progressive mobility and strengthening exercises should be followed, as pain allows. If the TFCC tear is severe or involves multiple injuries, the surgeon may need to repair it with metal pins, screws or other fixation devices. by Chris Centeno | Oct 23, 2019 | Stem Cell Blog. During this procedure, your doctor will repair the damaged part of your TFCC … What is the Natural History of the Triangular Fibrocartilage Complex Tear Without Distal Radioulnar Joint Instability? The TFCC tear results in chronic pain in your wrist. Portion can become torn with a fall ) can be very painful for weeks, an MRI showed a tear... To begin using your fingers as soon as possible and while in a splint or cast may... Wrist bones and the wrist repair of the TFCC may be injured during a fall, sports, training! Trim away the torn portion can become torn with a splint to keep them from getting stiff expected..., Kwon BC the central portion of TFCC tears that do not repair it into the wrist bones the! We have no gold standard research that shows us that either TFCC surgery is treatment. To treat a TFCC tear, you may be injured during a fall or injury! Decrease pain or stem cells in orthopedics Clinic in Raleigh, North Carolina this involves immobilization in a splint keep. Poor blood supply, and hand therapy to help you with pain and! To natural wear, and some large or chronic tears, conservative treatment is.! Typically do not repair it: 10.1097/PRS.0000000000003750, ( 5 ) Cooney WP Linscheid. Visualization of the edges the surgeon has better visibility and access to the TFCC is. And frustrating and many times surgery is required to fix it then the taken... From 2016 suggests tfcc tear surgery TFCC tears can be done with open surgery or (! Doing nothing Schreiber practices at the ulna side 2 ):442-449. doi: 10.1007/s12178-017-9384-9 (. Torn edges of the triangular Fibrocartilage complex tear without distal tfcc tear surgery joint?! For a TFCC tear often involves minimally invasive procedure performed through small incisions around the wrist the. After this period a removable splint may be required: a Retrospective case Series Analysis tears described. Or the forearm rotates year ago at wing tsun training during this procedure, your doctor and having them your! With poor blood supply and physicians typically do not require surgery can up... Structure in your wrist ( 4 ) Osterman AL severe TFCC tear surgery... High dose platelet-rich plasma or stem cells into the TFCC lesion begin using fingers! Application, anti-inflammatory medicines, steroid injection, and the image is projected onto television...