TFCC Management

• Triangular Fibrocartilaginous Complex (TFCC) - Conservative Management pt1:

  • advise & education:
  • Explain condition, expectation and prognosis
  • Education: Activity modification, avoid end range supination/pronation and excessive weightbearing through wrist initially
  • Maintain strength and fitness of unaffected areas
  • symptom control:
  • •Relative rest
  • +/- brace (depending on severity of injury up to 6 weeks)
  • Wrist support: wrist widget, taping
  • Medication: Pain Relief, NSAIDs and Ice
  • Isometrics with wrist in neutral initially
• Triangular Fibrocartilaginous Complex (TFCC) - Conservative Management pt2:

  • build capacity & restore strength & function
  • Progressive strengthening exercises through range, build capacity and increased WB tolerance
  • Improve control & dynamic stability of distal radioulnar joint (co-contraction of flexors/extensors, supinators/pronators) in WB and through range
  • Education: Graded increase in load
  • Strengthen along kinetic chain
  • return to function
  • Advanced specific rehab
  • Review technique (i.e. spin bowling etc)
  • Graded increase in load and frequency of higher-level activity