TFCC Debridement
What is TFCC debridement?
The triangular fibrocartilage complex (TFCC) is the structure found between the radius and ulna (forearm bones) and the carpal (wrist) bones. This region is composed of cartilage and ligaments which stabilize the distal radial-ulnar (wrist) joint by acting as a shock absorber and ensure physiological movement (6 directions – flexion, extension, twisting, side-to-side motions). The surgeon will repair the torn TFCC through a process known as debridement. They will remove any damaged tissue, specifically the articular disc and/or meniscal homologue (similar to knee menisci) tissue that is “catching” on to surfaces and driving this pathology. This will be done in areas that do not have a blood supply to promote repair and require shaving off This procedure may done using an arthroscope (camera) and a small incision to minimize muscle loss and damage. The surgeon may want to proceed with an open surgery instead of using an arthroscope depending on the severity, location and type of injury. TFCC debridement is a procedure to treat a patient’s pain and instability in their hand, wrist and forearm.
Who needs TFCC debridement?
Patients report pain in the ulnar region of their wrist, also the area opposite of the thumb. TFCC debridement may be necessary after years of wear and tear, both normal and improper loading and techniques. Individual differences in anatomy where the ulna is longer than the radius predispose the TFCC to tearing as the region experiences greater stress. Patients also report having catching, clicking and/or snapping sensations, stiffness, and/or swelling. The TFCC may tear after excessive force is applied to the pinky/ulnar aspect of the hand. Radius fractures occur simultaneously with these injuries to the ulnar region of the wrist. Those who have had traumatic falls or involved in sports like gymnastics and tennis are at an increased risk of damaging their TFCC. Patients may be TFCC debridement candidates if they did not respond positively to non-surgical treatment options like wearing a splint to immobilize the wrist joint region, physical therapy and cortisone injections.
More about TFCC debridements...
After examining the TFCC region, the surgeon may opt to perform TFCC repair in conjunction with debridement or opt out of TFCC debridement. Surgery should be performed as soon as possible in TFCC near-complete or complete tears to
Life after TFCC debridements...
More information coming soon!