TFCC Tear: A Plain-Language Guide to Assessment and Care

The triangular fibrocartilage complex sits on the little-finger side of the wrist. It cushions forces between the forearm and wrist bones and helps guide rotation of the forearm. A tear may be traumatic, such as after a fall or twist, or related to gradual wear. People may notice pain with rotation, gripping, or loading the hand, sometimes with clicking or weakness. These features can overlap with other injuries, so a symptom alone cannot identify the damaged structure.

A clinician usually starts with the injury story and an examination of tenderness, motion, grip, and stability. Treatment may begin by reducing painful loads and using [Splinting](/treatments/trauma-and-fracture-care/splinting/) for selected activities. [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) can then guide motion and strengthening without repeatedly stressing the wrist. If symptoms remain troublesome, options such as a [Cortisone Injection](/treatments/non-surgical-orthopedics/cortisone-injection/) or specialist review may be discussed. The appropriate route depends on the findings and your goals.

Seek prompt care after trauma if the wrist is visibly deformed, very swollen, numb, cold, or difficult to move. Arrange an appointment for persistent [Wrist Pain](/symptoms/wrist-pain/) with painful clicking, weak grip, or a feeling that the joint slips. A timely examination can check for fracture, instability, or another cause requiring different care.

What examination findings point toward a TFCC injury? Is my wrist stable? Do I need imaging? Which activities and supports are appropriate while we decide on treatment?