TFCC Tear (Triangular Fibrocartilage Complex Tear)

If you suffer from pain or swelling in the wrist, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

What is a TFCC Tear?

man holding right wristA TFCC tear refers to damage within the triangular fibrocartilage complex, a group of cartilage and ligaments located on the little-finger side of the wrist. This structure cushions the wrist joint, stabilizes the connection between the forearm bones, and supports smooth wrist movement during gripping, twisting, and weight-bearing activities. Injury may involve a small partial tear or a complete rupture of one or more parts of the complex.

Trauma, repetitive wrist motions, or age-related wear commonly cause a TFCC tear. Sudden twisting, falling onto an outstretched hand, or repeated rotation during sports and manual work can stretch or tear the tissue. Damage to the triangular fibrocartilage complex reduces wrist stability and disrupts normal joint function, especially during rotation and forceful hand use.

Symptoms of a TFCC Tear

Common symptoms of a TFCC tear often develop after a wrist injury or repeated strain. Many people notice discomfort during everyday activities that involve gripping, twisting, lifting, or rotating the wrist. Symptoms may vary depending on the size and location of the tear.

Symptoms may include:

  • Pain along the little-finger side of the wrist
  • Wrist pain that worsens with gripping or twisting motions
  • Clicking, popping, or catching sensations during wrist movement
  • Reduced grip strength
  • Swelling around the wrist
  • Difficulty rotating the forearm or bearing weight through the hand
  • Feeling of wrist instability or weakness

Treatment Options for a TFCC Tear

Mild TFCC tears often respond well to conservative treatment. Specialists commonly recommend rest, activity modification, wrist splinting or bracing, ice, and over-the-counter pain relievers to reduce pain and inflammation. Physical or occupational therapy helps improve strength, flexibility, and range of motion, while a gradual return to normal activities supports recovery.

Severe TFCC tears may require surgery to restore wrist stability and function. Surgeons often perform arthroscopic repair, remove damaged tissue, or reconstruct the injured structures when necessary. Splinting or casting protects the wrist after surgery, and rehabilitation exercises rebuild strength, mobility, and function before a gradual return to work, sports, and other demanding activities.

Recovery from a TFCC Tear

Recovery from a TFCC tear depends on the severity of the injury and the chosen treatment. Mild tears often heal within several weeks through rest, bracing, and physical therapy, while surgical repair usually requires several months of rehabilitation. Regular follow-up visits, gradual strengthening exercises, and activity modifications help restore wrist function, improve stability, and reduce the risk of future injury.

 

If you would like to speak to one of our Texas-Based Orthopedic Specialists, give us a call at 817-697-4038, or contact us online. Telemedicine appointments are also available.

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