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Hand & Upper Limb
intermediate
X-Type

TFCC Injuries - Palmer Classification and Management

TFCC Injuries

A 32-year-old right-hand-dominant tennis player presents with 4 months of ulnar-sided wrist pain. She recalls a fall onto an outstretched hand during a match. Pain is aggravated by racquet sports and twisting activities. Examination reveals tenderness in the soft spot between the ulnar styloid and pisiform, positive fovea sign, and pain with ulnar deviation and axial loading. Grip strength is reduced to 60% of the contralateral side. X-rays show neutral ulnar variance. Regarding triangular fibrocartilage complex (TFCC) injuries:

Mark each as TRUE or FALSE

A

The TFCC consists of the triangular fibrocartilage disc (articular disc), dorsal and volar radioulna...

B

Palmer Classification divides TFCC injuries into traumatic (Class 1: 1A central, 1B ulnar, 1C distal...

C

MRI is 100% sensitive for TFCC tears and has replaced wrist arthroscopy as the gold standard for dia...

D

The fovea sign (tenderness at the ulnar fovea between FCU and ulnar styloid) is highly sensitive for...

E

Peripheral TFCC tears (Palmer 1B) can be repaired arthroscopically with good healing due to blood su...

Answer the questions to see explanations

Click T (True) or F (False) for each option