WristWidget® (Black Adjustable Wrist Brace for TFCC Tears, One Size fits most. For Left and Right Wrists, Support for Weight Bearing Strain, Exercise

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Function of TFCC: Main stabilizer of distal radioulnar joint (volar portion of TFCC prevents dorsal displacement of ulna and is tight in pronation and dorsal portion of TFCC prevents volar displacement of ulna and is tight in supination). Contributes to ulnocarpal stability [4] [5] The Body Helix TFCC Wrist Brace is the best brace for TFCC tear injuries. It is specific to TFCC degeneration and tears. It will not help with other wrist injuries which may require a different sleeve or wrap. An injury or tear to the TFCC can cause chronic wrist pain. Sometimes called a wrist sprain, TFCC can be very painful and cause loss of motion. With TFCC, turning your wrist, pushing open a door, and pushing up from a chair, can cause your wrist to hurt. Peripheral tears of the TFCC can be repaired with stitches. It is necessary to immobilise the wrist and elbow for weeks after the surgery to allow the tears time to heal. Rehab Solutions. What is the TFCC? How do you treat it? Retrieved from https://rehabupracticesolutions.com/tfcc-treatment/

Letting your forearm relax to see if your fingers curve out toward your pinkie. Curving means you might have a TFCC injury, but not necessarily a tear. Grabbing the bottom of a table or desk with your palms facing up. If it’s painful, your TFCC is probably torn. Chronic injury can occur in baseball players as a result of the heavy load placed on the wrist during the swing. These athletes can sustain TFCC injuries even if they do not have positive ulnar variance [2] Limited range of motion in supination and pronation. If TFCC injury is severe, a client may present with limited wrist flexion and extensionFor degenerative (type 2) TFCC tears surgery may be directed at shortening the ulna bone, if it is abnormally long, and tightening the ligaments. Shortening the ulna bone means cutting it with a saw, removing a few millimetres of bone, and then fixing the bone ends together using a plate and screws. Because the ulna bone is relatively close to the skin and often rests against surfaces (eg tables, desks, computer keyboards) it is common that the plate and screws are removed once the ulna has healed. Arthroscopic techniques to clean inside the joint and to remove a few millimetres of the tip of the ulna may also be used for type 2 TFCC tears. As with any health concern, it’s always recommended that you consult with your health care provider provider to find out why your wrist hurts and the recommended treatment. Applying ice and taking anti-inflammatory medication such as aspirin, ibuprofen, or naproxen can help with the pain and swelling. Resting your hand in a wrist brace or splint is important for healing and can help prevent further injury. Wrist Braces can be worn during the day and at night. In severe cases, surgery may be recommended.

Radiographs: may reveal avulsion of ulnar styloid, scaphoid fracture, distal radial fracture, volar tilt of lunate or triquetrum; ulnar variance.

In gymnastics the TFCC can be injured through overuse injury (both support skills and hanging elements). With repetitive weight bearing (both compressive and tensile), this area can become inflamed and tendonitis/tendonosis can develop in the anchoring wrist ligaments (often misdiagnosed as a wrist sprain). [7] These injuries are managed initially by modification of daily activities to avoid aggravation of pain and injury, by complete abstinence from sporting/gym/yoga maneuvers which involve stressing the wrist joints, temporary splint or cast immobilisation are also used along with non-steroidal anti-inflammatory medication. For management purposes we follow the Palmer classification. Initial treatment of all types of TFCC injury includes rest, activity modification, splint, physical therapy, and corticosteroid injections. In case of failure of conservative treatment to give relief or in tears with joint instability early surgical intervention is recommended. Choice of treatment is based on type of lesion and may include open or arthroscopic repair, arthroscopic debridement, ulnar shortening, and the Wafer procedure. The TFCC compression test is performed by ulnar deviating the forearm in neutral rotation. Reproduction of symptoms indicates that the test is positive In the TFCC stress test an axial load is applied to a ulnar-deviated wrist which produces pain and discomfort. The piano key test is done to assess the stability of the DRUJ. It is done in pronated position of forearm. With the hand being stabilized, the dorsal ulnar prominence relative to radius is observed and the ulnar head in pushed volarly. A positive piano key sign is noted when minimal amount of resistance is felt againt volar displacement of ulnar head, suggesting the presence of underlying DRUJ instability. The test should be repeated with the forearm in supination. Comparision of the amount of ulnar displacement must be done with contralateral side because patients with generalized ligamentous laxity may have a substantial amount of abnormal baseline displacement.

Laying both hands flat on a table or desk and pressing the palms of your hands down. Your ulna bone may be visible when your hands are pressed but goes away when your hands are relaxed. This can be a sign that you probably have an injured, although not torn, TFCC.Abbasi, D., & Vitale, M. (2019). TFCC Injury. Retrieved from https://www.orthobullets.com/hand/6047/tfcc-injury

Injury: The force of falling on your hand or wrist can tear your TFCC. A fall or other injury that fractures your radius can also tear your TFCC. A sudden twist of your arm that over-rotates your wrist can also cause a TFCC tear. Press test: Patient lifts themselves out of a chair using the wrists in an extended position. Pain indicates a positive test. This paddle is incredible if you know how to use it. It is great for former tennis players due to the handle length and head heaviness, however it does require pretty high skill level so may not be suited for newer players. I think the theme of the X2 Pro should really be “less is more” as balls will FLY off the paddle if you don’t learn to control it.If a TFCC injury is severe, it may require surgical intervention. Often times patients will do a trial of hand therapy to see if this can improve symptoms before surgery. The goal of TFCC therapy is to reduce pain and inflammation along with improving wrist mobility while maintaining stability and strength (Rehab Solutions, 2018). If the TFCC injury is recent, hand therapists may create a muenster splint to limit supination and pronation or wrist mobility while the TFCC injury heals for the first 6-8 weeks (Barlow, 2016). During the wrist immobilization stage, the client should be instructed on the importance of gentle ROM of the digits to increase blood flow and decrease edema. Typical therapy regimes may include the following.