Combinations may result from wrist fractures. When the TFCC is torn or damaged, it is usual to get pain on the ulnar side of the wrist. This occurs particularly during the twisting movements that are called pronation and supination. Patients also may experience clicking or popping sensations during movement. The detection of TFCC problems is made more difficult as the cartilage is not visible on conventional radiographs.
Diagnosis requires experience, a high level of suspicion and specialist investigations.
This permits direct visualisation as well as intervention. The telescope is inserted into at least two areas on the back of the wrist. The view is projected onto a television screen. This allows me to inspect all the joint surfaces and the wrist ligaments. Usually the procedure is purely for diagnosis.