Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
Opening Hours
Mon to Fri: 08:00am - 8:00pm -
Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Triangular Fibrocartilage Complex Tear
What is a triangular fibrocartilage complex tear?
The triangular fibrocartilage complex (TFCC) is a triangular-shaped structure of cartilage located within the wrist joint. It connects to the ends of both forearm bones—the radius and the ulna—and plays a vital role in stabilising the wrist. A TFCC tear refers to damage to this cartilage complex. Physiotherapy is an important part of the treatment and rehabilitation for TFCC injuries, helping to reduce pain, restore function, and prevent further damage.
How does a triangular fibrocartilage complex tear happen?
A tear of the triangular fibrocartilage complex (TFCC) commonly occurs when using the hand to break a fall or during activities that involve supporting body weight through the hands, such as gymnastics.
What are the symptoms of a triangular fibrocartilage complex tear?
A triangular fibrocartilage complex (TFCC) tear causes pain in the wrist joint, typically worsened when weight is placed through the wrist. Movement may also produce a clicking or catching sensation, and swelling is often observed, particularly over the back of the wrist. Other symptoms may include:
- Reduced grip strength
- Difficulty twisting the forearm (e.g. turning a doorknob or key)
- A feeling of instability in the wrist
- Tenderness on the little finger side of the wrist
- Limited range of motion
What should I do if I have a triangular fibrocartilage complex tear?
If you have torn your triangular fibrocartilage complex (TFCC), you should begin initial treatment immediately. The RICE protocol—Rest, Ice, Compression, and Elevation—is recommended in the early stages.
Physiotherapy treatment for a triangular fibrocartilage complex tear.
Initially, your physiotherapist will assess your wrist to determine the extent of the injury. This assessment may require referral for further imaging, such as an X-ray, CT scan, or MRI, or referral to an orthopaedic surgeon for a more detailed evaluation. Based on the findings, your physiotherapist will be able to provide an estimated recovery timeline and develop an appropriate and individualised treatment plan tailored to your needs.
Treatment will vary depending on the severity of your injury, but may include wearing a splint to immobilise and protect the wrist, undergoing electrotherapy to reduce pain and swelling, and performing stretching and strengthening exercises to restore mobility and function. When returning to normal activities, your physiotherapist can provide guidance and recommend protective equipment, such as a wrist brace or strapping, if needed, to minimise the risk of re-injury. Other treatment options include:
- Wax therapy
- Soft Tissue Treatment
- Massage
- Manipulation / Mobilisation
What shouldn’t I do if I have a triangular fibrocartilage complex tear?
If you have, or suspect you have, a triangular fibrocartilage complex (TFCC) tear, you should avoid activities that increase blood flow to the injured area. These include hot showers, heat rubs, massage, and alcohol consumption. Such activities can increase swelling around the injury site and may delay your recovery.
Could there be any long-term effects from a triangular fibrocartilage complex tear?
Most triangular fibrocartilage complex (TFCC) tears heal within a few weeks. However, some cases may lead to longer-term effects, depending on the severity of the injury and the extent of cartilage damage. In severe tears, surgery may be required to remove the damaged cartilage and relieve symptoms, which can prolong recovery. Recovery may also take longer if other structures, such as the wrist or forearm bones or wrist ligaments, are also injured.
To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.
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