Triangular Fibrocartilage Complex Injury in the Wrist - Orthopedics

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Triangular fibrocartilage complex (TFCC) injury of the left wrist?


Hello, doctor.
Recently, I've been experiencing pain in my left wrist, and I just visited an orthopedic clinic today where the director, who is also a physician at National Cheng Kung University, examined me.
He diagnosed me with a triangular fibrocartilage complex (TFCC) injury, not tendonitis.
I have three questions: 1.
Can I apply an anti-inflammatory and analgesic topical patch before bed? 2.
Is it appropriate for me to use Voren-G non-steroidal anti-inflammatory gel in the morning? 3.
Will this condition heal completely, or will it be like tendonitis, where people say you carry an "old injury" that never truly heals, and it only doesn't hurt if you avoid using it?

An'an, 20~29 year old female. Ask Date: 2017/03/22

Dr. Shen Boquan reply Orthopedics


Injury to the triangular fibrocartilage complex (TFCC) is also a cause of wrist pain.
Typically, conservative treatments such as adequate rest, topical analgesics, adhesive patches, and nonsteroidal anti-inflammatory drugs (NSAIDs) will lead to improvement in most cases.
If these symptoms do not alleviate or are significantly bothersome, surgical intervention may be considered.
Wishing you good health.

Reply Date: 2017/03/22

More Info


The Triangular Fibrocartilage Complex (TFCC) is a critical structure in the wrist that provides stability and cushioning between the distal ends of the radius and ulna bones. An injury to the TFCC can result in pain, swelling, and decreased range of motion in the wrist. Understanding your condition and how to manage it is essential for recovery.

1. Using Anti-inflammatory Topical Treatments: Applying a topical anti-inflammatory medication, such as a water-based patch, before bed can be beneficial. These patches often contain ingredients like diclofenac or other non-steroidal anti-inflammatory drugs (NSAIDs) that can help reduce inflammation and alleviate pain. However, it is crucial to follow the instructions provided by your healthcare provider or the product label. If you have sensitive skin or any allergies, consult your physician before applying any topical medication.

2. Using Voren-G Gel: Voren-G is a topical gel that contains an NSAID, typically used to relieve pain and reduce inflammation. Applying this gel in the morning can be appropriate, especially if you are experiencing pain associated with your TFCC injury. However, it is essential to ensure that the area is clean and dry before application. As with any medication, monitor your skin for any adverse reactions, and consult your doctor if you experience any irritation or if your symptoms do not improve.

3. Prognosis of TFCC Injuries: The prognosis for a TFCC injury can vary significantly based on the severity of the injury and the treatment approach. Many TFCC injuries can heal completely with conservative management, including rest, physical therapy, and the use of anti-inflammatory medications. However, some injuries may require more invasive treatments, such as corticosteroid injections or even surgical intervention, especially if there is a significant tear or if conservative treatments fail to provide relief.

It's important to note that while many patients experience a full recovery, some may have lingering symptoms or chronic pain, similar to what is seen with tendonitis. This phenomenon can occur due to various factors, including the extent of the injury, individual healing responses, and the presence of any underlying conditions. In some cases, patients may find that their symptoms improve significantly with rest and rehabilitation, but they may still experience discomfort during certain activities or movements.

In conclusion, managing a TFCC injury involves a combination of appropriate topical treatments, physical therapy, and possibly lifestyle modifications to avoid aggravating the injury. Regular follow-ups with your healthcare provider are essential to monitor your progress and adjust your treatment plan as necessary. If you have concerns about your recovery or if your symptoms worsen, do not hesitate to reach out to your physician for further evaluation and guidance.

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