Triangular Fibrocartilage Complex Case Study

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Triangular Fibrocartilage Complex (TFCC) is located on the ulnar side of the wrist. According to Barlow (2016), the TFCC contains an articular disc and three ligaments which attach to carpal bones, the ulna, and radius (p. 271). Blazar stated the three ligaments include the dorsal radio-ulnar ligament, the ulnar collateral ligament, and the ulno-carpal ligament (p. 60). The TFCC is a shock absorber, allows for wrist stability, grip, and weight bearing and rotational loading tasks. Neumann, Kirkendall, and Moorman (2016) stated the TFCC is the main stabilizer of the distal radioulnar joint and allows for ulnocarpal stability (p. 181). Following an injury to the TFCC, stabilization would be impacted. An injury to the TFCC is commonly caused …show more content…
Tiedeken and Baratz (2016) stated following surgery, patients are often supplied a Muenster brace, which is typically customized, to limit pronation and supination. However, patients often do not find comfort with this brace, so they may also be offered a cock-up splint to use as an alternative (p. 135). These splints will help to allow the area to heal appropriately before the patient begins any movements which could potentially re-injure the site. Following one week of wearing this splint, the patient will typically begin therapy to work on range of motion exercises. Although the patient will begin range of motion exercises, they are still required to wear the splint for a total of four to six weeks following surgery. According to the American Occupational Therapy Association (2014) the splint the patient is required to wear is a part of the preparatory methods category of intervention, and range of motion exercises are a part of preparatory tasks (S29-30). Preparatory methods and tasks are necessary for the patient to be able to complete activities further along in their

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