Your Wrist Specialist
Fellowship-trained surgeon with expertise in wrist arthroscopy and TFCC surgery
Arthroscopic repair of the triangular fibrocartilage complex (TFCC)—designed to restore wrist stability and address ulnar-sided wrist pain for tears that may heal with surgical intervention.
The triangular fibrocartilage complex (TFCC) is a structure on the pinky side of the wrist that acts as a cushion and stabilizer between the ulna bone and the small wrist bones. It allows the wrist to rotate smoothly and absorbs forces during gripping and weight-bearing activities.
TFCC tears can occur from a fall on an outstretched hand, twisting injuries, or gradual wear over time. Symptoms include pain on the pinky side of the wrist, clicking or popping, weakness, and difficulty with gripping or rotating the forearm.
Not all TFCC tears require repair. The appropriate treatment depends on the tear location and type:
TFCC Repair
For peripheral tears (near the wrist capsule) where there is good blood supply for healing. These tears are sutured back to their attachment.
TFCC Debridement
For central tears (in the body of the TFCC) where blood supply is poor. Damaged tissue is trimmed to a smooth, stable edge.
Restoring stability through minimally invasive surgery
Wrist Arthroscopy
Small camera inserted to visualize the tear and assess repairability
Tissue Preparation
The torn edges are freshened to promote healing
Suture Repair
The TFCC is sutured back to its anatomic attachment using specialized techniques
Immobilization
A splint or cast protects the repair during early healing
TFCC repair requires a period of immobilization to allow the tissue to heal back to bone. Recovery is longer than debridement but aims to support restoration of stability and function.
Weeks 0-4
Cast or splint immobilization, no forearm rotation
Weeks 4-6
Removable splint, gentle range of motion begins
Weeks 6-12
Progressive strengthening with hand therapy
3-4 Months
Return to most activities, full recovery by 4-6 months
Fellowship-trained surgeon with expertise in wrist arthroscopy and TFCC surgery
The decision is made based on MRI findings and direct visualization during arthroscopy. Peripheral tears with good blood supply are typically repaired, while central tears are debrided. Your surgeon will discuss the likely approach before surgery and confirm during the procedure.
Some TFCC tears, particularly acute peripheral tears, may heal with immobilization alone. A period of splinting and activity modification is often tried before considering surgery. Surgery is typically recommended when conservative treatment does not provide adequate relief.
Many patients achieve improvement in strength and function following TFCC repair. Complete recovery takes several months and depends on factors like tear severity, repair quality, and adherence to rehabilitation.
No referral is required. You can book a consultation directly with our team to discuss your wrist symptoms and treatment options.
Schedule a consultation to discuss your wrist symptoms and explore treatment options for your TFCC injury.
