How to diagnose TFCC tears & Ulna-sided wrist pain with a quick and easy Weight (Load) Bearing Test

For this test you will need a non-digital scale and sports tape or a wrist widget You will use your uninjured wrist as a control Place the hand in a relaxed position keeping your elbows straight lean over your wrists so your body weight moves through your wrists Here, we see a tolerance of around 70 pounds Do the exact same with your injured wrist, but go slowly press through your straight arm until you feel discomfort Here we see a tolerance around 45 pounds. Do not exceed your pain tolerance Next you’ll need two half-inch wide strips of tape cut to around 13 inches long Start the tape at the base of the hand and wrap loosely around the wrist Then on the second wrap pull it tight Leaving space for the Ulna Bone at the second piece of tape in the same manner You will now repeat the tolerance test on the scale exactly as you did before Here we see the patient’s tolerance has risen to match their uninjured wrists You can carry out the same test with a wrist widget. Put on the wrist widget as shown Again make sure you leave room for the ulna bone. Pull both straps tight and attach the Velcro Carry out the same test to ensure tolerances even across both wrists

6 thoughts on “How to diagnose TFCC tears & Ulna-sided wrist pain with a quick and easy Weight (Load) Bearing Test

  1. I've been researching tfcc injurys for the last few hours and was sure I have it but I just tried it and I could do 120pounds on each wrist. Is it still likely that I have a tfcc injury? I get sharp wrist pain on the top when there is weight on my wrist and my wrist is >90° (handstands). Thanks.

  2. Its even stronger! Anyway, even without a tear on my weak hand my good hand should have more tolerance but the tape did it! But, 1) I did on a digital scale no one had an analog one! 2) I had a pisiform injury to my good hand couple of years ago so this might have affect my poor performance on both hands. 60 non injured 49 injured 62 injured with tape. 3) I did a number of tests and my power increased, maybe because it warmed up a bit. 4) Kinesio doesn't really do the job, its too elastic, go for standard sports tape. Life with a wrist injury sucks.. I can't even park the car properly! Tape those bad boys! Don't make the mistakes I did!

  3. Are there any studies to back up the claim of this test being able to diagnose a TFCC tear? Sensitivity and specificity?

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