Authors : Dr. Aishwarya Ganjale; Dr. Pradeep Borkar; Dr. Atharva Gunjal

Volume/Issue : Volume 10 - 2025, Issue 5 - May

Google Scholar : https://tinyurl.com/bdhsbmvt

DOI : https://doi.org/10.38124/ijisrt/25may2044

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Abstract : Introduction- Triangular fibrocartilage complex injuries are common in amateur and professional sports. (2) The function of the Triangular Fibrocartilage Complex is to act as a stabilizer for the ulnar aspect of the wrist. (3) It can resist both loading and tensive forces. Triangular Fibrocartilage Complex injuries are mainly caused by acute or chronic repetitive axial loads on the wrist, particularly on the ulnar side and in association with rotations or radial/ulnar deviations. (1)  Aim Aim of the study was To Find Effect of Structured Rehabilitation Program in patient with Traumatic Triangular Fibrocartilage Repair.  Method- After Ethical Approval from IEC the reported case of a 31-year-old male with post operative Triangular Fibrocartilage Complex Repair, with no other significant medical history was selected. Examination was carried out for pain with NUMERICAL PAIN RATING SCALE, Range of Motion with Goniometer, grip strength with hand – held dynamometer and functional outcome with Patient Rated Wrist Evaluation (PRWE) at week 0. Intervention- A structured rehabilitation program was made for 8 weeks. Sessions were followed for 5 days / week.  Result- Significant changes in pain, range of motion, grip strength and PRWE indicated progressive improvement in physical function.  Conclusion: Based on our study we conclude after 8 weeks of wristcraft rehab protocol patient showed significant decrease in pain, increase mobility, and functional outcomes in patient with Triangular Fibrocartilage Complex repair.

Keywords : Triangular Fibrocartilage Complex Repair, Pain, Range of Motion, Rehabilitation, Wrist Pain, PRWE, Grip Strength, Numerical Pain Rating Scale, Goniometer.

References :

1. Palmer, A. K., & Werner, F. W. (1981). Biomechanics of the distal radioulnar joint. Clinical Orthopaedics and Related Research, (187), 26–35 - Google Search [Internet].
2. Pace V, Bronzini F, Novello G, Mosillo G, Braghiroli L. Review and update on the management of triangular fibrocartilage complex injuries in professional athletes. World Journal of Orthopedics. 2024 Feb 2;15(2):110. - Google Search [Internet].
3. Ko JH, Wiedrich TA. Triangular fibrocartilage complex injuries in the elite athlete. Hand clinics. 2012 Aug 1;28(3):307-21. - Google Search [Internet].
4. Effect of Scapular Stabilization Exercise Program on Neck Disability and Forward Head  Posture among Computer Operators - Google Search [Internet].
5. Robertson G, Ang KK, Maffulli N, Simpson CK, Rust PA.Return to sport following surgicmanagement of triangular fibrocartilage tears: a systematic review. Br Med Bull 2019; -Google Search [Internet]
6. Jarrett CD, Baratz ME. The management of ulnocarpal abutment and degenerative triangular fibrocartilage complex tears in the competitive athlete. Hand Clin 2012; 28: 329-337, ix [PMID: 22883875 DOI: 10.1016/j.hcl.2012.05.018] - Google Search [Internet].
7. Shapiro LM, Yao J. Triangular Fibrocartilage Complex Repair/Reconstruction. Hand Clinics. 2021 Nov;37(4):493–505.
8. Mikic, Z. D., et al. (2001). The structural and functional influence of early motion on healing of the injured ligaments. Journal of Orthopaedic Research, 19(5), 882–888. - Google Search [Internet].
9. The effect of cryotherapy on nerve conduction velocity, pain threshold and pain tolerance -  PubMed [Internet].
10. Electrotherapy explained : principles and practice : Free Download, Borrow, and Streaming : Internet Archive [Internet].
11. 11. Kisner, C Colby, L. A. (2017). Therapeutic Exercise: Foundations and Techniques (7thed.). F.A. Davis Company. Comprehensive text on therapeutic exercises, including AROM for joint mobility and prevention of adhesions - Google Search [Internet]. [cited 2025 Apr21].
12. Wiedrich TA. The Treatment of TFCC Injuries in Football Players. Hand Clinics. 2012 Aug;28(3):327–8.
13. Prevalence of work-related musculoskeletal disorders among IT professionals in India-a literature review | International Journal of Research in Medical Sciences [Internet].
14. Managing TFCC Tears with Effective Exercises - Hand and Wrist Institute [Internet].