What should you know about test for TFCC tear?

The TFCC supports the little-finger side of the wrist and helps stabilize the joint during rotation and gripping. A clinician asks how the pain began, checks tenderness, grip, wrist motion, and stability, and may use specific loading or rotation manoeuvres. These tests can suggest irritation but cannot always show the exact tear. X-rays may look for bone injury or alignment changes, while MRI can show soft tissues when the result would affect treatment. Wrist pain can have several causes, so the examination matters.

Reduce gripping, twisting, and weight-bearing through the affected hand. A splint may limit painful movement for a period chosen by your clinician. Keep nearby fingers moving gently unless told otherwise, and avoid testing the painful manoeuvre repeatedly. Once the diagnosis and irritability are clearer, physiotherapy may restore motion, strength, and control. A cortisone injection is sometimes discussed for selected wrist pain, but it does not replace diagnosis or repair every type of tear.

Arrange prompt assessment after a fall, twist, or impact if the wrist is very swollen, visibly deformed, weak, or difficult to move. Seek urgent help for a cold or blue hand, new numbness, severe worsening pain, or an open injury. If pain on the little-finger side persists or clicking interferes with daily tasks, book a musculoskeletal review.

Which structures could explain my symptoms? Do I need an X-ray or MRI? How long should I use a splint? When can I start physiotherapy, and what activities should I pause?