Our Summary

The triangular fibrocartilage complex (TFCC) is a crucial part of the wrist that helps provide stability and bear weight. Understanding this structure is essential when trying to treat it. There are different methods to treat TFCC damage, including arthroscopic (minimally invasive surgery using a camera), arthroscopic-assisted, and open surgeries. This article discusses the specific surgical qualifications for these treatments. While there isn’t a lot of long-term comparative research, studies looking back at past TFCC repair and reconstruction procedures show that they can improve pain, stability, range of motion, and disability.

FAQs

  1. What is the triangular fibrocartilage complex (TFCC) and why is it important?
  2. What are the different surgical methods for treating TFCC damage?
  3. What are the reported outcomes of past TFCC repair and reconstruction procedures?

Doctor’s Tip

One important tip a doctor might give a patient about wrist arthroscopy is to carefully follow post-operative instructions to ensure proper healing and recovery. This may include keeping the wrist elevated, wearing a splint or brace as directed, attending physical therapy sessions, and avoiding certain activities that could put strain on the wrist. It’s also important to communicate any concerns or changes in symptoms to the doctor during the recovery process. By following these guidelines, the patient can optimize their chances of a successful outcome following wrist arthroscopy.

Suitable For

Patients who are typically recommended for wrist arthroscopy include:

  1. Patients with persistent wrist pain that has not improved with conservative treatments such as rest, physical therapy, and medication.
  2. Patients with a suspected TFCC tear or injury, which can cause symptoms such as wrist pain, clicking, popping, and instability.
  3. Patients with a history of trauma to the wrist, such as a fall or sports injury, that may have caused damage to the TFCC.
  4. Patients with chronic wrist conditions such as arthritis or ligament instability that may benefit from surgical intervention.
  5. Patients who have not responded to other treatments and are seeking a minimally invasive option for diagnosing and treating their wrist pain.

It is important for patients to consult with a hand surgeon or orthopedic specialist to determine if wrist arthroscopy is the best treatment option for their specific condition.

Timeline

Before wrist arthroscopy:

  1. Patient experiences wrist pain, swelling, and limited range of motion.
  2. Patient consults with a doctor or orthopedic specialist who recommends wrist arthroscopy as a treatment option.
  3. Pre-operative tests and evaluations are conducted to assess the extent of the TFCC damage and determine if arthroscopy is the best course of action.
  4. Surgery is scheduled, and the patient is given pre-operative instructions and guidelines to follow.

After wrist arthroscopy:

  1. Patient undergoes wrist arthroscopy, where a small camera is inserted into the wrist joint to repair the TFCC damage.
  2. The surgery typically lasts 1-2 hours, and the patient is usually able to go home the same day.
  3. Post-operative care includes pain management, physical therapy, and follow-up appointments with the surgeon to monitor healing and recovery.
  4. Patient gradually resumes normal activities and experiences improved wrist function, reduced pain, and increased stability.
  5. Full recovery can take several weeks to months, depending on the extent of the TFCC damage and the patient’s individual healing process.

What to Ask Your Doctor

  1. What is wrist arthroscopy and how is it performed?
  2. What specific issues or injuries can wrist arthroscopy address?
  3. What are the potential risks and complications associated with wrist arthroscopy?
  4. What is the success rate of wrist arthroscopy in treating TFCC injuries?
  5. What is the recovery process like after wrist arthroscopy?
  6. Are there any alternative treatments to consider for TFCC injuries?
  7. How long will it take to see improvement in symptoms after wrist arthroscopy?
  8. Will physical therapy be needed after wrist arthroscopy?
  9. Are there any restrictions or limitations on activities following wrist arthroscopy?
  10. How many wrist arthroscopy procedures have you performed and what is your success rate?

Reference

Authors: Shapiro LM, Yao J. Journal: Hand Clin. 2021 Nov;37(4):493-505. doi: 10.1016/j.hcl.2021.06.006. PMID: 34602129