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Hand & Wrist · Cartilage

TFCC Tear

Diagnosis & treatment by Kevin O'Donnell, MD — Coral Gables, FL

Overview

The triangular fibrocartilage complex (TFCC) cushions and stabilizes the little-finger side of the wrist. Tears cause pain with rotation and gripping, often after a fall or repetitive loading.

Common Symptoms

  • Pain on the little-finger side of the wrist
  • Pain with twisting (turning a doorknob)
  • Clicking or a sense of instability
  • Weak, painful grip

Causes & Risk Factors

  • A fall onto an outstretched hand
  • Repetitive rotational loading
  • Age-related degeneration

Treatment Options

  • Splinting and activity modification
  • Physical therapy
  • Corticosteroid injection
  • Arthroscopic repair or debridement

Recovery & What to Expect

Many tears settle with splinting and therapy. Arthroscopic treatment, when needed, is minimally invasive with a return to activity over 6–12 weeks.

This page is for general education and is not a substitute for a medical evaluation. Treatment recommendations depend on your individual diagnosis and goals. Kevin O'Donnell, MD serves Coral Gables, Miami, Brickell, Pinecrest, Coconut Grove.