Triangular Fibrocartilage Complex (TFcC)

Authors

Affiliations

Nate Yomogida, B.S., SPT

Doctor of Physical Therapy

B.S. in Kinesiology

Chloë Kerstein, B.S., SPT

Doctor of Physical Therapy

B.A. in Neuroscience

Connects

Dysfunction

Clinical Presentation

Etiology

Subjective

• Location of pain

Examination

Palpation

Palpate at the ulnocarpal joint to palpate the TFCC

Interventions

CKC

• Start at table (requires less ROM)
• Progress to wall (requires greater ROM)
• Plank
  • Up/down
  • Bosu
• Pushups
• Crawling

OKC

• Start before CKC

Bar

• Hangs
• Scap retractions
• Pull ups
• Archer Pull-ups

Push-ups

• Wall
• Table
• Normal

Treatment

Phases

Stabilization (4-6 weeks)

Restricting motion

End goal (2-3 mo later)

• Pullup
• Pushup
• Dip?
• Stabilization: Performing these on rings or TRX

Table pushups → normal pushups Wrist circles: resisted wrist circles Rows w bar bell Tricep Dips GOOD rom and mobility needed TRX banded exercises (general wrist strength) KB carry bottom up Farmers carry Heavy Kettlebell swings Crawling

ROM

• PROM
• CKC Stretches (table or wall)

Mobility

• AAROM

Strengthening

Grip Strengthening

• Sand/rice bucket (Purely concentric)
• Dead Hangs (Iso to eccentric)
• Rows (Dynamic Iso)
• Pullups (Dynamic Iso)

Stabilization

• Bottom’s Up KB Carry

Power