Rehabilitation in Triangular Fibrocartilage Complex Injuries: Treatment Algorithm

Abstract

Injuries to the triangular fibrocartilage complex (TFCC) can lead to instability of the distal radioulnar joint (DRUJ). In fact, they are the most frequent cause of it. But, in other cases, depending on the type of injury, the DRUJ remains stable. This will condition different types of treatments, from conservative management to the different options of surgical treatment. Since a controversy persists regarding the management of these lesions, our purpose is to disclose the foundations of the rehabilitation treatment and propose an algorithm of treatment according to the different types of injuries and their repairs.

Comparative Analysis of Treatment Outcomes: Modified Ulnar Gutter Slab vs. Sugar Tong Slab for Distal Radioulnar Joint Instability Following Triangular Fibrocartilage Complex Repair

“…For instance, Lerma et al recommended starting with a brachial splint that permits elbow flexion in a neutral forearm position using a Muenster-type orthosis for 3-4 weeks. Subsequently, the orthosis can be replaced with a forearm brace to allow elbow mobility, combined with isometric exercises over a two-week period [29].…”