Dr. Candice Teunis discusses TFCC injuries with Dr. Layci Harrison live from the Memorial Hermann Sports Medicine Update.







You compared wrist injuries to low back pain



Low back pain has so many different causes and ulnar wrist pain is so similar



You do not always have to have all of the answers on your first interaction.



Using a differential diagnosis is super helpful.



I think it is either this or this…here are some options for both of these.



What are the red flags for ATs to be referring?



Ulnar wrist pain is fairly forgiving



If you think the DREJ is unstable then you really need to get fixed quickly



On the ulnar side are the differences in age?



Yes, all of our joints wear down over time and those needs to be considered.



We see traumatic injuries as well as chronic issues.



Recovery in age differences



In older patients we are astarting to see some wear in the joint and lengthens the recovery time.  The wrist has to be unloaded in some of the older patients the you would not with younger patients.



Reinjury risk?



Pediatric patients are more likely due to the constant motion



This can be trick since the imaging show the repair.  You really have to look critically at this point.



How can we help prevent reinjury of the TFCC?



Strengthening helps



Pronator strengthening



ECU work



Most of the stuff we do not have control over except for the gymnastic population due to the constant weight bearing on their wrists.



Should we be limited movement in gymnastics?



It would help but its nearly impossible.



These kids tend to live with some amount of pain and ignore but it eventually catches up with them.



What should we be teaching students about interprofessional communication?



Develop a personal relationship with the people around you.



ATs can benefit by connecting with hand therapists to help improve the outcome for the patients.



Getting a congruent plan benefits all parties.



Watch Dr. Teunis lead her breakout session on TFCC



@HandSurgeonCandice



Contact Us:



Dr. Candice Teunis - Candice.B.TeunisWashko@uth.tmc.edu