Triangular Fibrocartilage (TFCC)

Triangular Fibrocartilage Treatment in Dubai at Emirates Hospitals Group. Triangular Fibrocartilage Complex (TFCC) injuries can significantly impact wrist functionality and quality of life. At Emirates Hospitals Group, we have the best hand and wrist surgeons in Dubai, specializing in the diagnosis and treatment of TFCC injuries. Our expert team provides cutting-edge care, leveraging advanced diagnostic tools and innovative treatment approaches to restore wrist function and alleviate pain.

• Know About Triangular Fibrocartilage (TFCC)
• Symptoms & Causes
• Diagnosis & Treatment

Know About Triangular Fibrocartilage (TFCC)

The Triangular Fibrocartilage Complex (TFCC) is a crucial structure located on the ulnar side of the wrist, consisting of cartilage, ligaments, and a disc-like structure. It acts as a cushion between the wrist bones and the ulna (the forearm bone), contributing to wrist stability and facilitating smooth movements. The TFCC helps absorb shock and distribute loads across the wrist joint, making it essential for proper wrist function.

Symptoms

TFCC injuries can cause a range of symptoms, which may vary in intensity:

1. Pain: Dull or sharp pain on the ulnar side of the wrist, which may worsen with certain movements or activities.
2. Swelling: Noticeable swelling around the wrist, particularly on the side where the TFCC is located.
3. Limited Range of Motion: Difficulty moving the wrist fully, particularly with rotation or gripping motions.
4. Clicking or Popping Sensation: A sensation of clicking, popping, or catching in the wrist during movement.
5. Weakness: Reduced grip strength and difficulty performing tasks that require wrist stability.

Causes

TFCC injuries can arise from various causes, including:

1. Trauma: Direct trauma to the wrist from falls, accidents, or sports injuries can damage the TFCC. Common in high-impact sports or activities.
2. Repetitive Stress: Repeatedly performing activities that strain the wrist, such as heavy lifting or repetitive twisting motions, can lead to TFCC degeneration or injury.
3. Aging: Wear and tear over time can weaken the TFCC, making it more susceptible to injury and degeneration.
4. Underlying Conditions: Certain medical conditions, such as rheumatoid arthritis, can increase the risk of TFCC damage.

Diagnosis

Accurate diagnosis of a TFCC injury involves a comprehensive evaluation by our skilled hand and wrist surgeons:

1. Medical History and Physical Examination: An initial assessment includes discussing symptoms, injury history, and performing a physical examination to evaluate pain, swelling, and range of motion.
2. Imaging Studies:
   • X-rays: To rule out fractures or dislocations that may accompany TFCC injuries.
   • MRI (Magnetic Resonance Imaging): Provides detailed images of soft tissues, including the TFCC, to assess the extent of damage and degeneration.
   • Arthroscopy: In some cases, a wrist arthroscopy may be performed to directly visualize and assess the TFCC and other internal structures.
3. Functional Tests: Evaluating wrist function and assessing the impact of the injury on daily activities.

Treatment

Treatment for TFCC injuries aims to relieve pain, restore function, and promote healing. At Emirates Hospitals Group, our treatment approach includes:

1. Non-Surgical Treatments:
   • Rest and Immobilization: Using splints or braces to immobilize the wrist and allow the TFCC to heal.
   • Ice Therapy: Applying ice to the affected area to reduce swelling and numb pain, typically for 15-20 minutes several times a day.
   • Pain Relief: Over-the-counter pain medications or prescribed drugs to control pain and inflammation.
   • Physical Therapy: Customized exercises to strengthen the wrist, improve flexibility, and restore function.
2. Surgical Treatments:
   • Arthroscopic Surgery: Minimally invasive surgery to repair or debride the damaged TFCC, depending on the extent of the injury. This technique involves inserting a small camera and surgical instruments through small incisions in the wrist.
   • Open Surgery: In more severe cases, open surgery may be required to repair or reconstruct the TFCC and restore wrist stability.