PREVALENCE OF TRIANGULAR FIBROCART ILAGE COMPLEX INJURY IN METAL FABRICATORS.
Main Article Content
Keywords
TFCC, metal fabricators, load test, wrist pain, dynamometer, scaphoid, range of motion, goniometer, GIRT.
Abstract
Introduction: Metal fabricators are at high risk for repetitive strain injuries, including TFCC tears, due to frequent forceful gripping, and repetitive ulnar deviation and heavy lifting. Thus, the present study will contribute to the literature regarding the prevalence of TFCC injury in metal fabricators. Methodology: Total number of 97 participants ages 30 to 40 years, were selected by simple random sampling method according to inclusion and exclusion criteria. Participants were evaluated by the 3-test load test for scaphoid side, press test for medial wrist joint and, GIRT test for grip strength of wrist. Results: The study of 97 metal fabricators found a 92.78% prevalence of TFCC injuries, with pain as the most common symptom. Right wrist ulnar deviation (18.27°) was significantly lower than the left (35.13°), indicating mobility impairment. A grip strength disparity (24.11 kg vs. 82.56 kg) suggests functional Conclusion: The total prevalence of affected population having TFCC injury is 92.78% they may be high risk of having more severe symptoms of TFCC injury impairment due to repetitive strain.
References
2. Abdelmalek MA. Physical therapy after triangular fibrocartilage injuries and ulnar wrist pain [dissertation]. Loma Linda (CA): Loma Linda University; 2015. Available from: https://scholarsrepository.llu.edu/etd/310
3. Jones KA, Cancio JM, Stanley B, Truax C, Gower JT. Design and fabrication of the radial and ulnar wrist articulating control orthoses (R-WACO & U-WACO). Brooke Army Medical Center, JBSA Ft. Sam Houston, TX, USA. 2019. Available from: https://www.elsevier.com/open-access/userlicense/1.0/
4. Haque S, Khan AA. Effects of ulnar deviation of the wrist combined with flexion/extension on the maximum voluntary contraction of grip. J Hum Ergol. 2009;38:1-9. 16 February 2009
5. Casadei K, Kiel J. Triangular fibrocartilage complex. [Updated 2023 Aug 14]. In: Stat Pearls [Internet]. Treasure Island (FL): Stat Pearls Publishing; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507863/
6. Abbasi D, Vitale M. Triangular Fibrocartilage Complex (TFCC) Injury [Internet]. Updated 2023 Dec 18.
7. Pace V, Bronzini F, Novello G, Mosillo G, Braghirol L. Review and update on the management of triangular fibrocartilage complex injuries in professional athletes. World J Ortho. 2024 Feb 18;15(2):110-117. doi:10.5312/who. v15.i2.110.
8. Haque S, Khan AA. Effects of ulnar deviation of the wrist combined with flexion/extension on the maximum voluntary contraction of grip. J Hum Ergol. 2009;38:1-9
9. Volentine T. Management of a TFCC injury in hand therapy. Hand Therapy Academy. 2020 Jun 27. https://rehabupracticesolutions.com/tfcc-treatment/
10. Triangular fibrocartilage complex (TFCC) injury. Orthobullets. [cited 2024 Mar 11]. Available from: https://www.orthobullets.com/hand/6047/triangular-fibrocartilage-complex-tfcc-injury
11. Hooi HT. Triangular fibrocartilage complex injury. Radiopaedia. 2025 Feb 28. Available from: https://radiopaedia.org/
12. Zheng W, Zhao LL, Yu XJ, Li P, Xiang ST, Cao WL. Arthroscopically assisted repair of foveal triangular fibrocartilage complex tear using modified “double loop suture” – a retrospective cohort study. BMC Surg. 2025;25:69. doi:10.1186/s12893-025-02123-4.
13. Kim JS, Kim KE, Lee SW, Jeon S, Yang H, Choi YR, et al. Generalized joint laxity increases the risk of recurrence of distal radioulnar joint instability after arthroscopic foveal repair of the triangular fibrocartilage complex. Arthroscopy. 2024 Dec 6.
14. Kim JS, Kim KE, Lee SW, Jeon S, Yang H, Thalhammer G, et al. Generalized joint laxity increases the risk of recurrence of distal radioulnar joint instability after arthroscopic foveal repair of the triangular fibrocartilage complex. Arthroscopy. 2024 Dec 6 https://doi.org/10.1016/ j.arthro.2024.12.006
15. Mehta SP, Kara Giannopoulos C, Pepin ME, Ballantyne BT, Mich Lovitz S, MacDermid JC, et al. Distal radius fracture rehabilitation: Clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Academy of Orthopedic Physical Therapy and Academy of Hand and Upper Extremity Physical Therapy of the American Physical Therapy Association. J Ortho Sports Phys Ther. 2024;54(9):1-CPG78. Doi: 10.2519/ jospt.2024.0301.
16. Abdelmegeed M, Lohman EB, Daher N, Syed HM. Effect of orthotics and strengthening exercises on subjects with triangular fibrocartilage complex injuries and ulnar wrist pain: A randomized controlled trial. J Ortho Sports Phys Ther. 2016;46(1)
17. Palmer AK, Werner FW. Biomechanics of the distal radioulnar joint. Clin Ortho Relate Res. 1984 Jul-Aug;(187):26-35.
18. Mesplié G, Grelet V, Léger O, Lemoine S, Ricarrère D, Geoffroy C. Rehabilitation of distal radioulnar joint instability. Hand Surg Rehabil. 2017;36(5):314-321. doi: 10.1016/ j.hansur.2017.02.005.
19. Sailer SM, Lewis SB. Rehabilitation and splinting of common upper extremity injuries in athletes. Clin Sports Med. 1995 Apr;14(2): pg. no.411-446.vol.14
20. Culp R, Jacoby S. Musculoskeletal examination of the elbow, wrist, and hand: Making the complex simple. New York: CRC Press; 2024. 352 p ..https://books.google.co.in/ books/about/Musculoskeletal_Examination_of_the_Elbow.html?id=354LEQAAQBAJ&redir_esc=y.
21. kurt.T. Hegmann, MD, MPH, FACOEM, FACP. HAND, WRIST, AND FOREARM DISORDERS GUIDELINE.2019 January;7.
22. Axelsson P. Distal radioulnar joint: arthroplasty and strength assessments. Gothenburg: Department of Orthopedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg; 2018.
23. Larsson S. Wrist osteoarthritis: Impact on daily life, self-management and outcome Lund University; 2024 Feb 9.
24.. kurt.T. Hegmann, MD, MPH, FACOEM, FACP. HAND, WRIST, AND FOREARM DISORDERS GUIDELINE.2019 January;7.
25. Tuhi R. Diagnostic accuracy in the clinical examination for identifying a triangular fibrocartilage complex injury : Auckland University of Technology; 2022.
26. Mr Konjic A. Distal radius fracture and the influence of associated injuries at long term: Lund University, Medical Faculty; 2019 Mar 15.
27. ester B, Halbrecht J, Levy IM, Gaudinez R. "Press test" for office diagnosis of triangular fibrocartilage complex tears of the wrist. Ann Plast Surg. 1995 Jul;35(1):41-5.
28. Lee SH, Gong HS. Grip strength measurement for outcome assessment in common hand surgeries. Clin Ortho Surg. 2022 Feb 3;14(1):1-12. Doi: 10.4055/cios21090. PMCID: PMC8858903. PMID: 35251535.
29. Dees E. Ergonomic assembly tools can ease the pain of manufacturing. Assembly Magazine. 2019 Jul 15. https://www.assemblymag.com
30. Campbell BK. Ergonomic tools can reduce injuries and improve productivity. Ohio Gas Association. 2011 Apr.
31. Ward T. Grip strength is a powerful sign of health and longevity. Here's how to improve yours. GQ Magazine. 2024 Oct 17. : https://www.gq.com/story/improve-grip-strength
32. Henry MH. Management of acute triangular fibrocartilage complex injury of the wrist. J Am Accad Ortho Surg. 2008 Jun;16(6):320-9.
33. Jawed A, Ansari MT, Gupta V. TFCC injuries: How we treat? J Clin Ortho Trauma. 2020 Jul-Aug;11(4):570-9. Doi: 10.1016/j.jcot.2020.06.001. PMCID: PMC7384326. PMID: 3274212
34. Ferguson R, Riley ND, Dwijendra A, Thurley N, Carr AJ, Dean BJF. Wrist pain: a systematic review of prevalence and risk factors – what is the role of occupation and activity? BMC Musculoskeletal Disorder. 2019; 20:542. Doi: 10.1186/s12891-019-2903-0.
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Miss. Komal Kiran Sawant
B. P. T.h Department of Physiotherapy D.Y. Patil College of Physiotherapy, Kolhapur. D.Y. Patil Education Society (Deemed to be University), Kolhapur
Dr. Soniya Lohana
M. P. T.h Assistant Professor, Department of Sports Physiotherapy D.Y. Patil College of
Physiotherapy, Kolhapur. D.Y. Patil Education Society (Deemed to be University), Kolhapur
