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Injury may also occur from a distraction force applied to the volar forearm or wrist. Finally, tears of the TFCC are frequently found by patients with distal radius fractures. [7] Perforations and defects in the TFCC are not all traumatic. There is an age related correlation with lesions in the TFCC, but many of these defects are asymptomatic ...
Tears in this ligament occur commonly after a person falls or secondary to a wrist fracture. Abnormalities in the TFCC are classified with the Palmer Classification, which divides the tears in a traumatic or degenerative stage. [2] Both stages of TFCC tears are treatable with an arthroscopic intervention, although the degenerative stage is ...
The TFCC is a cartilage and ligament complex in the wrist that is important for stability and function. If torn, it can result in pain, catching and instability.
There is an increased risk of interosseous intercarpal injury if the ulnar variance (the difference in height between the distal end of the ulna and the distal end of the radius) is more than 2mm and there is fracture into the wrist joint. [5] Triangular fibrocartilage complex (TFCC) injury occurs in 39% to 82% of cases.
Ulnar impaction syndrome is a painful condition of excessive contact and wear between the ulna and the carpus with an associated is a degenerative tear of the TFCC. Positive, neutral, and negative ulnar variance. Relationship between radial length and ulnar variance. Radial length is the measure from distal ulna to radial styloid process.
To perform the test, the examiner grasps the wrist with their thumb over the scaphoid tubercle (volar aspect of the palm) in order to prevent the scaphoid from moving into its more vertically oriented position in ulnar deviation. For the test, the wrist needs to be in slight extension. The patient's wrist is then moved from ulnar to radial ...