Complex Wrist Conditions

TFCC Lesions

The TFCC (triangular fibrocartilage complex) is a key stabilizing structure on the ulnar side of the wrist. Injuries are commonly caused by falls, twisting motions, or age-related wear and tear, and typically present as pain with loading or restricted rotational movement. Depending on the extent of the damage, treatment options range from conservative measures such as immobilization and hand therapy to surgical intervention. Many procedures can now be performed arthroscopically, making them particularly tissue-sparing and often allowing for faster rehabilitation.

Ulnar Impaction Syndrome

Ulnar impaction syndrome is caused by excessive pressure between the ulna and the carpal bones on the ulnar side of the wrist. Typical symptoms include load-dependent pain and reduced mobility. When conservative treatment fails to provide relief, surgical options such as ulnar shortening osteotomy or arthroscopic procedures to decompress the affected structures may be indicated.

Scaphoid Necrosis (Preiser's Disease)

Scaphoid necrosis, also known as Preiser's disease, is a rare condition involving impaired blood supply to the scaphoid bone, which can lead to pain and progressive loss of wrist mobility. Because the condition often develops gradually, early diagnosis with modern imaging is especially important. Treatment depends on the stage and severity of the disease and ranges from offloading measures to reconstructive surgical procedures.