Persistent pain on the pinky side of the wrist may be caused by a TFCC tear, an injury to the triangular fibrocartilage complex — a critical structure that stabilizes the wrist and supports smooth forearm rotation. TFCC injuries commonly occur after a fall, sports injury, or repetitive wrist motion. Without proper treatment, they can lead to chronic pain, weakness, and reduced wrist stability. Our orthopedic specialists provide expert diagnosis and advanced treatment options for TFCC tears, helping patients regain strength, mobility, and confidence in their wrist.

What Is a TFCC Tear?

The triangular fibrocartilage complex (TFCC) is a network of cartilage and ligaments located on the ulnar (pinky) side of the wrist. It acts as a cushion between the forearm bones and stabilizes the wrist during gripping, twisting, and weight-bearing activities.

A tear can occur suddenly from trauma or gradually from degeneration, particularly in active individuals or those who place repeated stress on the wrist.

Common Symptoms of a TFCC Tear

• Symptoms can vary depending on the severity of the injury but often include:
• Pain on the pinky side of the wrist
• Clicking, popping, or catching sensations
• Weak grip strength
• Wrist instability
• Pain when rotating the forearm (turning a doorknob or using tools)
• Discomfort with weight-bearing through the wrist

If symptoms persist, evaluation by a specialist is important to prevent long-term dysfunction.

What Causes TFCC Injuries?

TFCC tears are typically classified as either traumatic or degenerative.

Traumatic Tears – Often result from:

• Falling onto an outstretched hand
• Sudden twisting injuries
• Sports such as tennis, baseball, and gymnastics
• Forceful wrist rotation

Degenerative Tears – More likely to develop over time due to:

• Natural wear and tear
• Aging
• Positive ulnar variance (when the ulna is slightly longer than the radius)
• Chronic wrist loading

Both types benefit from early diagnosis and appropriate treatment.

How Is a TFCC Tear Diagnosed?

Accurate diagnosis is essential because TFCC injuries can mimic other wrist conditions. Your evaluation may include:

• A detailed physical examination
• Assessment of wrist stability
• Imaging such as MRI to visualize soft tissues
• X-rays to evaluate bone alignment
• Occasionally, diagnostic wrist arthroscopy

These tools help determine the extent of the injury and guide the most effective treatment plan.

Nonsurgical Treatment Options

Many TFCC tears can heal without surgery, particularly when treated early. Conservative care may include:

• Wrist immobilization with a brace or splint
• Anti-inflammatory medications
• Activity modification
• Corticosteroid injections when appropriate
• Physical or occupational therapy

The goal is to reduce inflammation, promote healing, and restore function while protecting the wrist from further injury.

When Is Surgery Recommended?

Surgery may be considered if:

• Pain persists despite conservative treatment
• Wrist instability develops
• The tear is severe
• Daily activities or athletic performance are limited

Timely surgical care can prevent chronic instability and long-term joint damage.

Surgical Treatment for TFCC Tears

Our specialists use advanced surgical techniques tailored to the specific type and location of the tear.

Wrist Arthroscopy

This minimally invasive procedure uses a small camera to diagnose and treat the injury through tiny incisions.

Depending on the tear, the surgeon may:

• Trim damaged tissue
• Repair the cartilage
• Stabilize surrounding ligaments

Arthroscopy typically allows for less postoperative discomfort and a faster recovery compared to traditional open procedures.

Recovery After TFCC Treatment

Recovery varies based on the severity of the injury and treatment approach, but most patients can expect:

• Gradual reduction in pain
• Improved wrist stability
• Structured rehabilitation
• Guided return to work, sports, and daily activities

Following your treatment plan closely helps ensure the best possible outcome.

Why Choose Our Orthopedic Specialists?

TFCC tears require precise diagnosis and expert management to restore full wrist function. Our team specializes in complex wrist injuries and uses evidence-based treatments designed to deliver lasting results.

We are committed to:

• Personalized care plans
• Advanced minimally invasive techniques
• Restoring strength and mobility
• Helping patients return to active lifestyles

When Should You See a Specialist?

If you experience ongoing wrist pain — especially on the pinky side — weakness, or instability, early evaluation is essential. Prompt care can prevent further damage and support a faster recovery.

Schedule an appointment today to explore your treatment options for TFCC tears.