TFCC (Wrist Injury) treatment options

In addition to last week’s post about TFCC injuries in the wrist.

What are the suggested treatment options for the management of TFCC injuries?

Management of TFCC injuries is mainly determined by whether the distal radioulnar joint is stable. If instability is present the joint needs to be stabilised.

Conservative options for TFCC injury are mainly considered in presence of a stable distal radioulnar joint include:

• Rest from aggravating activities
• Period of immobilisation in a splint for 4-6 weeks
• Anti-inflammatory tablets
• Cortisone injection
• Physiotherapy and taping
• Biomechanical analysis to look at what may be causing the overloading of TFCC

Failure to respond to conservative treatment over a 3 month period,  surgery may be considered which may include repair of the tear, debridement of the tear, ulnar shortening, and various types of ulnar head resection.