In 1981, Palmer and Werner introduced the term triangular fibrocartilage complex (TFCC) to describe the ligamentous and cartilaginous structures that suspend the distal radius and ulnar carpus from the distal ulna (see the image below). (medscape.com)
Triangular fibrocartilage complex suspends distal radius and ulnar carpus from distal ulna. (medscape.com)
Ulnocarpal portion of triangular fibrocartilage complex (TFCC) is composed of discus articularis, ulnolunate ligament (ULL), and ulnotriquetral ligament (UTL). (medscape.com)
Wrist8
Injuries to the TFCC present as ulnar-side wrist pain , frequently with clicking. (medscape.com)
[ 1 ] This TFCC improves wrist functional stability and allows six degrees of freedom at the wrist-flexion, extension, supination, pronation, and radial and ulnar deviation. (medscape.com)
Their data also illustrated that small changes in relative ulnar length can significantly alter load patterns across the wrist. (medscape.com)
She was invited to present two workshops focusing on the weight bearing test, and ulnar sided wrist pain differential diagnosis. (wristwidget.com)
He purchased a WristWidget that was designed by a hand therapist for wrist pain treatment associated with grip, wrist rotation and weight bearing for use to alleviate ulnar-sided wrist pain. (wristwidget.com)
Although arthrographic findings correlate quite well with ulnar-sided wrist pain, the technique is far less effective for radial-sided problems. (musculoskeletalkey.com)
Ulnar sided wrist pain can be a complex problem to diagnose. (pinterest.com)
The following blog provides a review of the clinical anatomy, pain provocation tests and classification for diagnosis of TFCC injuries in patients with ulnar sided wrist pain. (pinterest.com)
Radial1
Patients with a torn TFCC display an average ulnar variance (radial shortening) of 4.6 mm (vs 2.5 mm for no tear) and an average dorsal angulation of 24° (vs 12° for no tear). (medscape.com)
Variance1
Palmer found an inverse relation between ulnar variance and TFCC thickness of the TFCC: The TFCC is thicker in individuals who are ulnar minus. (medscape.com)
Injuries2
There is no correlation between ulnar styloid fractures and TFCC injuries. (medscape.com)
Since 1777, when DeSault's original dissertation first described DRUJ injuries, much has been written about this joint and the TFCC. (medscape.com)
Ligament2
8 found that although 88% of patients with ulnar pain had lunotriquetral ligament perforations, only 26% of patients with scapholunate dissociation had scapholunate ligament perforations. (musculoskeletalkey.com)
15 , 16 Multidetector CT arthrography has also been used to visualize interosseous ligament tears. (musculoskeletalkey.com)
Carpus2
[ 1 ] The TFCC is the major ligamentous stabilizer of the distal radioulnar joint (DRUJ) and the ulnar carpus. (medscape.com)
[ 1 ] The TFCC is the major ligamentous stabilizer of the distal radioulnar (DRU) joint and the ulnar carpus. (medscape.com)
Degeneration2
Repairing TFCC tears is contraindicated in the presence of infection or degeneration. (medscape.com)
[ 4 ] He demonstrated that degeneration of the TFCC begins in the third decade of life and progressively increases in frequency and severity in subsequent decades. (medscape.com)
Radius2
Radially, the TFCC arises from the ulnar margin of the lunate fossa of the radius (see the fourth image below). (medscape.com)
For example, with a distal radius fracture that settles 2.5 mm, an increase in ulnar axial load of approximately 40% can be expected. (medscape.com)
Therapy1
Initial treatment of both symptomatic degenerative and traumatic TFCC tears consists of a period of conservative therapy (see Treatment ). (medscape.com)
Image1
The TFCC extends ulnarly to insert into the base of the ulnar styloid (see the first image below). (medscape.com)
Period1
The research project undertaken by Wendy, Jan and Susan was also displayed during the conference period. (wristwidget.com)
Radial and ulnar deviation2
1] This TFCC improves wrist functional stability and allows six degrees of freedom at the wrist-flexion, extension, supination, pronation, and radial and ulnar deviation. (medscape.com)
Patients complain of pain with radial and ulnar deviation, as ulnar deviation compresses the TFCC, and radial deviation applies tension to a peripheral tear. (forexpand.com)
Styloid5
There is no correlation between ulnar styloid fractures and TFCC injuries. (medscape.com)
This may thicken to 5 mm where the TFCC inserts into the eccentric concavity of the ulnar head and projecting styloid. (medscape.com)
The TFCC extends ulnarly to insert into the base of the ulnar styloid (see the first image below). (medscape.com)
It starts at the ulnar styloid , the small bump on the edge of the wrist (on the side away from the thumb) where the ulna meets the wrist joint. (granvillephysiotherapy.ca)
Triangular fibrocartilage complex tears2
The TFCC Fast Fix is a minimally-invasive arthroscopic surgery specifically designed to repair Triangular Fibrocartilage Complex Tears of the Wrist. (loredohands.com)
If a congruent reduction cannot be achieved or if the dorsal instability is unstable in 30° of supination, then arthroscopic evaluation of the TFCC is recommended with repair as needed. (medscape.com)
Patients1
Patients with a torn TFCC display an average ulnar variance (radial shortening) of 4.6 mm (vs 2.5 mm for no tear) and an average dorsal angulation of 24° (vs 12° for no tear). (medscape.com)
Pain1
Andrew used the case example of a 29 year old Strongman competitor with shoulder pain, who displayed poor trunk control. (sportsmap.com.au)
Repair1
As interest in the TFCC evolved, open repair techniques for this structure were devised. (medscape.com)