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The scan showed a tear of my TFCC; the doctor told me I needed surgery and I would be out of tennis for four to six months. I do not want surgery and wonder if this treatment plan sounds right to you?
Physiotherapy and occupational therapy can help patients recover after immobilization or surgery. Wrist support straps used in sports can also be used in mild cases to compress and minimize movement of the area. [11] Indications for acute TFCC surgery are: a clearly unstable DRUJ, or the existence of additional unstable or displaced fractures.
There is an increased risk of interosseous intercarpal injury if the ulnar variance (the difference in height between the distal end of the ulna and the distal end of the radius) is more than 2mm and there is fracture into the wrist joint. [5] Triangular fibrocartilage complex (TFCC) injury occurs in 39% to 82% of cases.
Arthroscopy is until today in an experimental stage but research suggest that in the near future it will be a reasonable alternative for open surgery due to faster recovery time. [6] For a tear in the lunotriquetral ligament, arthroscopic debridement is the prime treatment with a loss or reduction of symptoms of 78-100%. [7]
Since the process of bone healing is quite variable, a nonunion may go on to heal without intervention in very few cases. In general, if a nonunion is still evident at 6 months post-injury it will remain unhealed without specific treatment, usually orthopedic surgery. A non-union which does go on to heal is called a delayed union. [2]
The surgery was called "controversial" by many sportswriters, due to a lack of studies on the long-term effects and the fact that an unsuccessful surgery could end an athlete's career. [9] Steadman has also adapted the surgery into a treatment to help reattach torn ligaments (a technique he calls the "healing response"). [citation needed]
The RICE method is an effective procedure used in the initial treatment of a soft tissue injury. [6] Rest It is suggested that the patient take a break from the activity that caused the injury in order to give the injury time to heal. Ice The injury should be iced on and off in 20 minute intervals, avoiding direct contact of the ice with the skin.
Bone healing, or fracture healing, is a proliferative physiological process in which the body facilitates the repair of a bone fracture. Generally, bone fracture treatment consists of a doctor reducing (pushing) displaced bones back into place via relocation with or without anaesthetic, stabilizing their position to aid union, and then waiting ...
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