TFCC injury - Palmer 1b

Case contributed by Ahmed Abdrabou
Diagnosis almost certain

Presentation

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

Patient Data

Age: 30 years
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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