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Seacoast Spine & Sports Injuries Clinic

TFCC Injury

Wrist, hand & thumb · Before your visit

The triangular fibrocartilage complex supports the small-finger side of the wrist and helps stabilize forearm rotation.

When to seek urgent medical care

Seek prompt medical evaluation after trauma with deformity, an open wound, loss of finger motion, rapidly increasing swelling, complete numbness, or fingers that become pale, blue, or unusually cold.

This is not an exhaustive emergency list. If something feels severe, rapidly worsening, or unsafe, call 911 or seek urgent medical evaluation.

Start here

What is tfcc injury?

The triangular fibrocartilage complex supports the small-finger side of the wrist and helps stabilize forearm rotation. Injury can follow a fall, twist, racquet motion, or repeated weight bearing through the hand.

The same label can behave differently from one person to the next. The timing, location, type of symptoms, injury mechanism, and response to movement help distinguish a local tissue problem from referred pain, nerve involvement, or a pattern that should be evaluated elsewhere first.

What tfcc injury can feel like

People do not need every sign below to fit this pattern. They are useful clues to discuss during an evaluation, especially when paired with what changes the symptom and what activity has become difficult.

  • ulnar-sided wrist pain
  • clicking with forearm rotation
  • pain during push-ups
  • weaker grip

Common contributors and aggravators

A contributor is not always a single cause. Tissue capacity, recovery, the size of a recent load change, and the mechanics of the task can overlap. For tfcc injury, the history commonly examines:

  1. 1fall on the hand
  2. 2forceful twisting
  3. 3repeated axial load through the wrist

What we look at before planning care

An assessment begins with the story, then tests the findings that can change a decision. For this presentation, that usually means looking at the items below and comparing them with the demands of work, daily life, or sport.

Clinical focusstability and rotation response
Clinical focusgrip strength
Clinical focusfracture and distal-radioulnar joint screen

Imaging can be useful when the history or examination indicates it, but a scan is not a substitute for matching the finding to symptoms, function, and the clinical screen.

Clinically reviewed

Reviewed by Dr. Tamara Lovelace, DC, DACBSP, ICCSP, Chiropractic Sports Doctor and clinic director, on August 25, 2026.

This page explains what we look at and what care can involve. It is not a diagnosis, and it cannot replace an examination. Bring the problem in and a provider will tell you what is going on.

What your provider will discuss with you

Care for tfcc injury is built around the findings, not a preset protocol. The early goal may be symptom control or protection; the later goal is enough motion, strength, and tolerance for the exact activity you need.

01

protect provocative rotation

Progress is checked against symptom response and function so the plan can change when capacity changes.

02

restore forearm and grip strength

Progress is checked against symptom response and function so the plan can change when capacity changes.

03

progress weight bearing through the hand

Progress is checked against symptom response and function so the plan can change when capacity changes.

Services that may support care for tfcc injury

These are clinical tools, not automatic recommendations. Your provider selects a service only when it fits the diagnosis, irritability, healing stage, and goal.

See every service

Common questions about tfcc injury

Short answers to the decisions people usually face before an evaluation.

What is tfcc injury?

The triangular fibrocartilage complex supports the small-finger side of the wrist and helps stabilize forearm rotation. Injury can follow a fall, twist, racquet motion, or repeated weight bearing through the hand.

How is tfcc injury assessed?

The examination is shaped by your history and the task that brings symptoms on. For this pattern, useful checkpoints include stability and rotation response, grip strength, fracture and distal-radioulnar joint screen. The provider also screens for findings that should be evaluated medically before musculoskeletal care continues.

What can care for tfcc injury include?

A plan may draw from Physical Therapy, KT Taping, and Cold Laser, but the service is not the diagnosis. Care is selected around the examination and may focus on protect provocative rotation, restore forearm and grip strength, progress weight bearing through the hand. The dose and sequence change with irritability, healing stage, and the activity you need to regain.

Can I stay active with tfcc injury?

Often, some activity can continue after the provoking dose is adjusted, but that decision depends on the tissue, severity, and warning signs. The goal is to protect what needs healing while preserving safe strength and conditioning, then rebuild the specific work, daily-life, or sport demand.

When does tfcc injury need urgent medical care?

Seek prompt medical evaluation after trauma with deformity, an open wound, loss of finger motion, rapidly increasing swelling, complete numbness, or fingers that become pale, blue, or unusually cold.

Related wrist & hand guides

Symptoms often overlap. These pages can help you compare nearby tissues, referred pain, and different loading patterns.

Browse wrist, hand & thumb

Get clarity on tfcc injury.

Book at the Portsmouth or Alton clinic. The first step is a focused assessment that separates what hurts from what is driving it.

Portsmouth Clinic

Portsmouth, NH · Seacoast

Mon to Thu: 9:00 AM to 6:00 PMFriday: 9:00 AM to 5:00 PM
(603) 431-4200
Lakes Region Clinic

Alton, NH · Lakes Region

Mon, Wed, Fri: 9:00 AM to 7:00 PMTue & Thu: 9:00 AM to 6:30 PMSaturday: 8:00 AM to 12:00 PM
(603) 875-4000
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