TFCC Repair and Ulna Shortening
Overview
The TFCC is a stabilising structure on the little-finger side of the wrist. It helps support the distal radioulnar joint and cushions load across the ulnar side of the wrist. TFCC injury can cause pain with twisting, gripping, push-ups, racquet sports or weight-bearing through the hand.
Ulna shortening may be considered when ulnar-sided wrist overload contributes to symptoms, particularly when the ulna is relatively long compared with the radius.
Who may benefit from surgery?
Surgery may be considered for persistent ulnar-sided wrist pain, confirmed TFCC tear, distal radioulnar joint instability or ulnar impaction that has not improved with splinting, injections or therapy.
What does the procedure involve?
Arthroscopy is used to assess the TFCC. Stable central tears may be debrided. Peripheral tears with healing potential may be repaired. Ulna shortening osteotomy removes a small section of ulna and fixes the bone with a plate to reduce overload on the ulnar side of the wrist.
Recovery after TFCC repair or ulna shortening
TFCC repair requires protection while soft tissues heal. Ulna shortening also requires bone healing. Return to loading is gradual and guided by comfort, imaging and strength recovery.
Rehabilitation protocol
You will receive a TFCC repair, wrist arthroscopy or ulna shortening protocol depending on the procedure.
FAQs
What causes TFCC pain?
It may follow a fall, twisting injury, sport, degeneration or ulnar-sided overload.
What is ulnar impaction?
It is overload between the ulna and wrist bones, often associated with a relatively long ulna.
Does every TFCC tear need repair?
No. Some tears are debrided or treated non-operatively depending on location and stability.
How long does ulna shortening take to heal?
Bone healing usually takes months and is monitored with x-rays.
Will I regain full wrist rotation?
The goal is comfortable rotation, but recovery depends on injury severity and joint stability.
Book or Refer Today
For ulnar-sided wrist pain or suspected TFCC injury, book a consultation to assess treatment options.
Reconstructive Orthopaedics Melbourne (ROM)
We restore mobility, reduce pain, and improve quality of life — through reconstructive orthopaedic surgery driven by evidence and advanced biomechanics.