What is the first treatment for a TFCC tear?

The triangular fibrocartilage complex supports the little-finger side of the wrist and helps with load transfer and rotation. A tear can cause ulnar-sided pain, clicking or reduced confidence when gripping and turning the forearm. A splint can limit movements that repeatedly stress the area while the wrist settles.

The right plan depends on whether the injury followed trauma, how stable the wrist is, and whether there is a fracture or another source of pain. Examination and, when needed, imaging help guide protection and rehabilitation.

Use the prescribed [Splinting](/treatments/trauma-and-fracture-care/splinting/) support as directed, and avoid forceful gripping, heavy lifting and repeated twisting until you have guidance. Do not push through sharp pain to test the wrist. Once movement is appropriate, [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) can address range of motion, forearm control and a gradual return to loading.

If pain remains limiting after an assessment and initial protection, a clinician may discuss [Cortisone Injection](/treatments/non-surgical-orthopedics/cortisone-injection/). An injection is not a substitute for checking wrist stability or identifying a structural injury that needs a different plan.

Arrange prompt assessment after a fall, twist or impact, especially when swelling, bruising, marked tenderness or loss of movement is present. Seek urgent care for a cold or pale hand, new numbness, severe weakness, obvious deformity or rapidly worsening pain. Persistent clicking or pain on the little-finger side also warrants review.

Is the wrist stable, and could there also be a fracture? How long should I use the splint? Which movements can I begin, and what would make further imaging or another treatment necessary?