Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
general topic hub

TFCC Injuries

TFCC stabilizes the distal radioulnar joint and dissipates ulnar‑sided load. Palpable 'fovea sign', ulnar grind, and DRUJ shift test support diagnosis. MRI useful; wrist arthroscopy remains gold standard for diagnosis and treatment. Central tears → arthroscopic debridement; peripheral tears → repair; positive ulnar variance → consider ulnar shortening osteotomy. Failure to treat instability leads to chronic pain and DRUJ arthritis.

Overview

Topic summary

View wiki
TFCC stabilizes the distal radioulnar joint and dissipates ulnar‑sided load. Palpable 'fovea sign', ulnar grind, and DRUJ shift test support diagnosis. MRI useful; wrist arthroscopy remains gold standard for diagnosis and treatment. Central tears → arthroscopic debridement; peripheral tears → repair; positive ulnar variance → consider ulnar shortening osteotomy. Failure to treat instability leads to chronic pain and DRUJ arthritis.
Cases

Clinical case discussions

Browse all cases
MCQs

High-yield practice questions

Start topic quiz
Question 1

What is the primary stabilizer of the distal radioulnar joint (DRUJ)?

Question 2

Which tear type is most clinically significant and requires surgical repair?

Question 3

What is the most common mechanism of injury for a TFCC tear?

Question 4

Which clinical test is most sensitive for detecting a foveal TFCC tear?

Question 5

What imaging modality remains the gold standard for diagnosing TFCC injuries?

Question 6

In the Palmer classification of TFCC injuries, what type is characterized by central perforation of the articular disc?

Question 7

What is the consequence of untreated instability resulting from a TFCC injury?

Question 8

What is the recommended treatment for a symptomatic Class 1A TFCC tear?

Question 9

How does positive ulnar variance affect the load on the TFCC?

Question 10

Which clinical test assesses dorsopalmar instability of the DRUJ?