TFCC tear types explained

A traumatic tear follows a distinct event such as a fall onto the hand or a forceful twist. A degenerative tear develops as the tissue changes with repeated loading or age and may begin without one clear injury. Clinicians also describe whether the tear is central or peripheral, because blood supply and attachment differ across the complex. They assess whether the distal radioulnar joint is stable, since instability can affect forearm rotation and grip. Symptoms may include small-finger-side wrist pain, clicking, swelling, or reduced confidence using the hand.

The label alone does not decide treatment. Your clinician combines the injury history, tenderness, range of motion, grip, and stability findings. Early care may involve activity modification and [Splinting](/treatments/trauma-and-fracture-care/splinting/). Once pain is controlled, [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) can address motion, strength, and load tolerance. In selected cases, a [Cortisone Injection](/treatments/non-surgical-orthopedics/cortisone-injection/) may be discussed for inflammation, but it does not repair every type of tear.

Arrange prompt care after a fall or twist that causes severe pain, visible deformity, or difficulty moving the fingers. Seek urgent help for numbness, unusual color or coldness in the hand, or rapidly worsening swelling. A non-urgent assessment is worthwhile when clicking, weakness, or pain with rotation continues or prevents normal tasks. [Wrist Pain](/symptoms/wrist-pain/) can help you describe the pattern.

Does my injury look traumatic, degenerative, central, or peripheral? Is the distal radioulnar joint stable? What activities are safe now? Which findings would change the treatment plan or require further imaging?