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Dr. Candice Teunis discusses TFCC injuries with Dr. Layci Harrison live from the Memorial Hermann Sports Medicine Update.
You compared wrist injuries to low back pain
Low back pain has so many different causes and ulnar wrist pain is so similar
You do not always have to have all of the answers on your first interaction.
Using a differential diagnosis is super helpful.
I think it is either this or this…here are some options for both of these.
What are the red flags for ATs to be referring?
Ulnar wrist pain is fairly forgiving
If you think the DREJ is unstable then you really need to get fixed quickly
On the ulnar side are the differences in age?
Yes, all of our joints wear down over time and those needs to be considered.
We see traumatic injuries as well as chronic issues.
Recovery in age differences
In older patients we are astarting to see some wear in the joint and lengthens the recovery time. The wrist has to be unloaded in some of the older patients the you would not with younger patients.
Reinjury risk?
Pediatric patients are more likely due to the constant motion
This can be trick since the imaging show the repair. You really have to look critically at this point.
How can we help prevent reinjury of the TFCC?
Strengthening helps
Pronator strengthening
ECU work
Most of the stuff we do not have control over except for the gymnastic population due to the constant weight bearing on their wrists.
Should we be limited movement in gymnastics?
It would help but its nearly impossible.
These kids tend to live with some amount of pain and ignore but it eventually catches up with them.
What should we be teaching students about interprofessional communication?
Develop a personal relationship with the people around you.
ATs can benefit by connecting with hand therapists to help improve the outcome for the patients.
Getting a congruent plan benefits all parties.
Watch Dr. Teunis lead her breakout session on TFCC
Contact Us:
Dr. Candice Teunis – Candice.B.TeunisWashko@uth.tmc.edu
Contact Us:
Jeremy Jackson
Shawn Ready – shawnreadyatc@gmail.com
Dr. Mark Knoblauch – maknobla@Central.UH.EDU
Dr. Layci Harrison – lharris5@Central.UH.EDU
Bob Marley – Bob.Marley@uth.tmc.edu
ATCornerPodcast – ATCornerds@gmail.com
Joseph Eberhardt – eberhardtj@pearlandisd.org
Christina Fry – fryc@pearlandisd.org
These people LOVE Athletic Trainers and help support the podcast:
Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
These people LOVE Athletic Trainers and help support the podcast:
Frio Hydration – Superior Hydration products.
Donate and get some swag (like Patreon but for the school)
HOIST – No matter your reason for dehydration DRINK HOIST
MedBridge Education – Use “TheSMB” to save some, be entered in a drawing for a second year free, and support the podcast.
Marc Pro – Use “THESMB” to recover better.
