A procedure to repair damage to the TFCC, a crucial structure in the wrist that stabilizes and cushions the joint.
Usually performed via wrist arthroscopy, small incisions allow the surgeon to view the tear and repair the damaged ligament using sutures or small anchors, depending on the type and location of the tear. The procedure typically takes one to two hours and is usually day surgery.
Assessment includes examination of wrist stability and an MRI or wrist arthroscopy itself to confirm the tear pattern and plan the repair. Standard preoperative steps apply, including fasting and arranging transport home.
A splint or brace protects the wrist for a period after surgery. Physiotherapy is introduced progressively as healing allows, with full recovery of rotational strength and stability generally taking several months.
Rehabilitation begins with protected movement, progressing to active movement and then strengthening as the repair heals, with particular attention to restoring rotational movement and grip strength over the following months.
Risks include infection, incomplete relief of symptoms, and, uncommonly, ongoing wrist instability if the ligament does not fully heal. The general risks of anaesthesia also apply.
The aim is to restore stability to the joint between the two forearm bones and relieve ulnar-sided wrist pain. Most patients experience good improvement, though the specific outcome is influenced by the type and location of the tear, since the blood supply to different parts of the TFCC varies and affects healing potential.
TFCC repair reattaches damaged cartilage and ligament at the little-finger side of the wrist, addressing tears that have not settled with non-surgical treatment. Most patients experience good improvement in pain and stability, with recovery of full strength taking several months.
For help distinguishing this condition from other causes of wrist pain, see understanding wrist pain.
