TFCC Tear

A TFCC tear is an injury to a structure on the little finger side of the wrist known as the triangular fibrocartilage complex. This structure helps stabilise the wrist and allows smooth rotation of the forearm.

The TFCC acts as a cushion between the forearm and the wrist bones and plays an important role in grip and load-bearing. Injury can occur suddenly following trauma or develop gradually through repeated use.

Symptoms often present as pain on the little finger side of the wrist, particularly with twisting or weight-bearing movements. In some cases, the wrist may feel unstable or click during movement.

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Diagnosis is based on clinical assessment, including a detailed history and examination of wrist movement and stability.

If required, further investigations may include:

• MRI scans to assess the TFCC
• X-rays to assess alignment of the wrist
• Wrist arthroscopy, which allows direct assessment of the joint

These tests help confirm the diagnosis and guide treatment decisions.

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Treatment depends on the severity of the injury and how much it affects your wrist function.

Non-surgical treatment may include:

• Activity modification to reduce strain
• Wrist splinting to support the joint
• Anti-inflammatory medication where appropriate
• Physiotherapy to improve strength and control

If symptoms persist or the wrist remains unstable, surgical treatment may be recommended.

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When non-surgical treatment is not effective, surgical treatment may be recommended.

This is often performed using wrist arthroscopy (keyhole surgery), allowing the TFCC to be assessed and treated directly. Depending on the type of tear, the damaged tissue may be trimmed or repaired.

The aim of surgery is to reduce pain, improve stability and restore function.

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Recovery depends on the type of treatment performed.

Following surgery:

• A splint or cast may be used initially
• Movement is gradually reintroduced
• Physiotherapy is often required to restore strength and mobility

Recovery timelines vary, but most patients return to normal activities over several weeks to months depending on the severity of the injury.

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As with any surgical procedure, there are potential risks, although these are uncommon.

Possible complications include:

• Infection
• Ongoing pain or incomplete symptom relief
• Stiffness in the wrist
• Nerve irritation or sensitivity
• Persistent instability

Your surgeon will discuss the expected outcomes and risks before proceeding with treatment.

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You should seek medical advice if you experience persistent wrist pain, clicking or a feeling of instability, particularly if symptoms follow an injury or are affecting daily activities.

Early assessment is important to confirm the diagnosis and guide appropriate treatment.

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