TFCC Talk episode 23. Triangular fibrocartilage complex injury/tear expert Wendy discuses general questions often asked about ulnar sided wrist pain and TFCC tears. Learn about the difference between central and peripheral TFCC tears. And the protocol for healing mild, moderate, and severe injuries.
0:36 Research on TFCC
1:04 What to expect from TFCC diagnosis
1:49 Variability in MRIs
2:31 Wrist splint compressing on ulna head is detrimental
2:56 How the weight bearing test works
3:41 How bad in my TFCC tear?
4:29 Normal adult weight bearing numbers
5:00 Important landmarks
5:04 above 45 lbs = functional wrist
5:10 below 45 lbs = non functional wrist
5:15 65 lbs = stable, loadable wrist
5:27 Below 45 lbs = a severe injury
5:40 Mild injury recovery protocol
6:20 Moderate recovery protocol
7:20 Severe protocol
8:35 Cast after surgery
10:49 Time frame for recovery
11:25 Central and peripheral tears behave very differently
12:13 Things that interfere with normal progression
14:39 When should I consider surgery
15:55 Central and peripheral tears
17:00 What if MRI says TFCC but weight-bearing doesn't change?
19:58 What about thumb-sided pain?
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Hello!! My name is Wendy and I am the inventor and patent holder of the WristWidget®, a solution for those with tears of the Triangular Fibrocartilage Complex.
I am an Occupational Therapist with a specialty in hands or CHT- Certified Hand Therapist. My fascination with the hands started at a young age when I became intrigued with the incredible dexterity that allowed me to play the piano, repair engines, write and function so well. It led me down the path of medicine at Chaminade University and then obtain a Bachelor of Science in Occupational Therapy in 1993. My work at Shriners Hospital in Hawaii led me to meet the hand therapist who demonstrated the incredible ability to mold and form materials for the hands of children. My passion excelled at Stanford University Hospital and Clinics where I received the most incredible exposure to all areas of medicine. I opened my private practice in Redwood City, California upon the birth of my second child. Then returned to my hometown to open 3 clinics in Honolulu, Kailua, and Queens. It was here that I invented the WristWidget®. Now the WristWidget® has expanded to all continents. I never imagined that I would have the opportunity to look at an injury every day, all day. With this has come great knowledge and understanding of an important dynamic of the human wrist.
My work now is entirely manufacturing, distribution and research. My hope is to influence the way we understand the TFCC and its incredible capacity to heal. With time and research, the work of the many who have shared their stories and experiences will be published. Hopefully soon, a patient with ulnar-sided wrist pain can receive an early and non-invasive diagnosis and an effective treatment.
Warmest Aloha to all of the mentors, teachers, patients, clinicians, friends, and family who have guided me along this path.
For more information about the TFCC and other wrist issues, visit us at wristwidget.com
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6 окт 2024
