Case 20 - TFCC Rupture

38 yr, male, sweeper, right hand dominant
Right wrist pain for seven months ago
Repetative work-related trauma history in right wrist

Wrist extension 70◦, flexion 80 ◦, radial and ulnar deviation is normal.
Tenderness over SL
Extension test (-)
Tenderness over TFCC with palpation
Tinnel test (+)
Sensory examination normal
Piano test (–)
Watson Shift test (+)
VAS score 4
QUICK DASH 45.5