How to Perform a TFCC Evaluation:Real patient, real injury!

Here I demonstrate a brief TFCC (Triangulo-fibro cartilage complex) evaluation on a patient who had a fall and injured his wrist. I show you the most common special tests for a TFCC tear and show the location. We did confirm the diagnosis with MRI results after our initial evaluation. Here are a few videos of the individual special tests we used:

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#TFCC#WristInjury#OrthoEvlPal

[peaplecreative]

Thanks for the video, I just got my MRI results back and the main issue being TFC, I cannot push off the chair at all, and 50% hand rotation. Have an appointment to see hand surgeon but I am always very curious and like doing my own homework and your video was spot on. BTW I have lifted weights for 35+ years and it was heavy dumbbell press that began making my wrists sore, before it tore, so for anyone working out do not ignore the wrist pain, rest it and protect it.

[edwardsinovich]

Thank you Paul! These videos are very helpful during my DPT studies!

[MrNewff]

I have the same issues when I overwork the area..it gets painful for a few days and makes it hard to do anything...but if I stop using it for a day or so it all goes away. A few days ago those tests would be painful, but today the tests you just did didn't bother me. The pain all comes from that Ulnar area.

EDIT: Actually 5 minutes after doing those tests I just had some pain come back in my left hand. Have had issues with both hands.

[deepakpant]

How long does take to repair tfcc by self

[cathytussing]

Oh wow, I have the exact same tear from falling back and breaking the wrist, 4 months ago. I feel like I’ll never get to do some yoga and push ups again!

[azthevisualiza]

I've been dealing with this for 2 years. Felt completely hopeless since every doctor couldn't figure out what was causing it. Is surgery the only long term fix?

[capcap]

What is the course of action for this injury?

[seananderson]

I'm pretty sure I tore my TFCC by just playing guitar. I've made the same motion thousands of times but a few weeks ago I got a pain on the lateral side of my wrist. It hasn't healed and has only became worse.

[viralupadhyay]

My doctor has suggested PRP (platelets rich plasma) of my own blood injected on the injury, is it effective?

[xuslender]

Hello, Sir. My right hand has just been injured for a week. Is it necessary for conservative treatment for a month? Is it necessary to start rehabilitation after conservative treatment?

[mohammedaltahhan]

Hello doctor, You said this patient had ulnar variance? Can you tell me if it's positive or negative ulnar variance please? I have pain in the same area and I have been struggling with it for 6 months and I can't work anymore. Some doctors said I had negative ulnar variance which caused the problem but negative ulnar variance should cause in the radius part of the wrist, right? the last doctor I've seen said it's not ulnar variance and you can't diagnose ulnar variance from an MR. He said it's something with the tfcc. I used to sculpt and paint everyday which is why I had pain in my wrist, I am 24 years old and I just wonder if I will ever get my hand back to normal?

[jordanensign]

I have a slight tfcc tear. I don’t feel much pain until I add a lot of stress on my pinky side. I bodybuild. Should I keep working out with a wrapped brace, like is it possible to heal even with me lifting or should I take the time off

[Ru]

How do i treat TFCC? Please help! Thank you.

[renji.i]

My ulna bone clicks on supination and i have ulnar wrist pain. I’m currently resting my wrist and using a wrist widget. Does it sound like a tfcc injury? I am an avid gym goer and the pain mostly flares up when I grip something

[nielsharskamp]

Hey doc, i have all the tests done, and all hurt exept for the pushing out off the chair test, is that possible??

[alient]

hello first sorry for my English I can't speak well . please help me this pain made me depressed. I'm 17 and a boxer.5 months ago after punching a bag my TFCC was damaged. Early on, I couldn't lift a heavy think like a laptop, and the part you showed in the movie hurt.But now about 80 or 85 percent of my TFCC is fine and I can lift objects like a laptop Or a heavy object.But I still don't feel like I'm completely well. I did ten sessions of physiotherapy, but it didn't go well.I still have problems with some movements, such as push-ups, and they get less pain (the pain is very litte now but at the first 3 months it was a lot). ulnar bone protrusion at the wrist (the protrusion before TFCC tendons start) become a litte bigger .
what i have to do for What do I need to do to be completely well? Do corticosteroids injections help?

[syedalisulfikar]

What kind of treatment for this I have this issue partial tear of ligament what should do

[andreaswahlgren]

believe I have a TFCC. It hurts right under the pinkie like the TFCC do. It only hurts when I fully extend/stretch it vertically and horizontally. Do u think that means it's a self-fix or should I see a doctor. It have been hurting the same for 3 weeks now. I tiny but improvement I would say.

[ivicasiljanovski]

I have tfc proplem and i train crossfit should i keep working out with wristband

[rhodaphelson]

mine is at the joint where the my thumb meets my wrist, I feel pain when moving or stretching my thumb and there are a lot of clicking sounds