TFCC injury (Palmer 1b)

Case contributed by Dr Ahmed Abd Rabou

Presentation

Falling on outstretched hand 1 week ago followed by pain and limited movement

Patient Data

Age: 30 years old
Gender: Male
MRI

Distal radioulnar joint instability associated with distal ulnar marrow edema and tear of the ulnar attachment of TFCC allow some fluid to track proximal to the ligament.

Diagnosis: TFCC tear type 1b and DRUJ instability

Case Discussion

Intact TFCC prevents fluid to cross the ligament proximally to the forearm. Other abnormalities may be associated e.g. DRUJ instability, carpal instability and ulnar impaction syndrome.

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Case information

rID: 25323
Case created: 19th Oct 2013
Last edited: 25th Feb 2017
Tags: wrist, trauma
Inclusion in quiz mode: Included

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