Update On Treatment - TFCC Tears: Dr. Jai Sungaran
Update On Treatment - TFCC Tears: Dr. Jai Sungaran
Update On Treatment - TFCC Tears: Dr. Jai Sungaran
Update on treatment -
TFCC Tears • Triangular fibrocartilage complex consists of 7
discrete structures
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TFCC TFCC
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TFCC Diagnosis
• History - painful rotation or loading in ulnar
deviation and extension.
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TFCC Repair Unstable peripheral TFCC
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TFCC Repair
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DRUJ movement post repair Central degenerative tear
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Stage 2 (Repair) Wk 3-6 Stage 3 (Repair) Wk 6-10
• Focus on restoring wrist flexion/extension while
avoiding rotation. Scar management and • Wean out of splint and start wrist rotation exercises.
desensitisation Continue flexion/extension and radio-ulnar
deviation
• Isometric exercises for forearm/hand
• Night splinting or taping as needed.
• Tendon glide
• Start strengthening once range improves.
• Reduce to short arm splint.
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Stage 3 (Debridement) Wk 6 TFCC Key Points
onwards
• No splint. Taping as needed. • Clinical exam and history can identify a tear
• Strengthening of ulnar sided structures • MRI has high sensitivity and specificity but
as well as grip strength arthroscopy is better.
• Continue tendon glides and fist exercises. • Non-op treatment not for longer than 3-6 months
Consider putty/theraband or hand isometric
exercises • Rehabilitation is crucial to successful treatment
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Thank You!
• Questions? Comments?
or email:
[email protected]
or visit: www.handandwrist.com.au
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