How are triangular fibrocartilage complex (TFCC) lesions treated?

Updated: Nov 22, 2019
  • Author: David M Lichtman, MD; Chief Editor: Harris Gellman, MD  more...
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Answer

Answer

Traumatic lesions in the absence of instability are treated conservatively. Treatment includes a long-arm cast worn for 6 weeks, use of NSAIDs, and perhaps steroid injections. Lesions associated with instability or those that fail to respond to conservative therapy are treated surgically. Arthroscopy and debridement of flap tears are effective in stable injuries if no ulnar impaction is present. If impaction or instability is present, ulnar shortening is recommended. [18]

Degenerative lesions are usually the result of impaction and may be treated conservatively as well. Injuries that fail to respond to conservative treatment are considered for TFCC debridement and ulnar shortening.


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