Wrist Ligament Injuries
A 28-year-old tennis player presents with ulnar-sided wrist pain for 4 months following a fall onto her extended wrist. She has pain with gripping and rotational movements. Examination reveals tenderness in the fovea (between the flexor carpi ulnaris and ulnar styloid), positive fovea sign, and a painful click with ulnar deviation and rotation. MRI arthrography shows a peripheral tear of the triangular fibrocartilage complex. Regarding TFCC injuries:
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The TFCC is a complex of fibrocartilage and ligaments on the ulnar side of the wrist comprising the ...
TFCC injuries can be traumatic (Palmer Class 1) or degenerative (Palmer Class 2); traumatic tears ar...
The TFCC is located on the radial side of the wrist; it has no role in DRUJ stability; central tears...
Clinical examination includes the fovea sign (tenderness in the soft spot between the ulnar styloid ...
Treatment depends on tear location and DRUJ stability; central tears (1A) in a stable wrist can be d...
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