Triangular Fibrocartilage Complex
This is a cartilage similar to the cartilage in the knee that is often torn and does not have an adequate blood supply to it. The reason it is causing discomfort is usually there is a flap of tissue that is flapping back and forth and causes irritation of the joint.
For this problem there are three modes of treatment; no treatment, conservative, and surgical.
Conservative treatment would consist of resting the wrist in a wrist brace or a cortisone injection. Usually anti-inflammatory medications and physical therapy is not beneficial.
If there is persistent pain despite conservative treatment, arthroscopic surgery with debridement of the tear to give the tear smooth edges is usually very successful. This can be performed under local anesthesia on an outpatient basis with two or three small incisions on the wrist. Occasionally, the cartilage can be repaired.
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Patient Testimonials
Dear Dr. Marumoto-Thank you for everything you have done for me. Your skills have enabled me to play sports again and have allowed me to regain an improved quality of life.
Although our visits were brief, I was truly inspired by you. I remain to this day in awe of your professional demeanor as well as you extremely impressive skills as a surgeon. Although you may not have known it, you were critical in my selection of a career in medicine. I hope to emulate you in my professional career.
In January, I was accepted into the John A. Burns School of Medicine, and next month I will start on the path that you have already tread, keeping you in mind as a role model and aiming to become as skillful and as knowledgeable as you.
Although words cannot adequately express my gratitude, thank you again for everything you have done for me. Best wishes to your always. Sincerely C.L
Dear Dr. Marumoto: Thank you for your kindness. My knee is much better. M.F.
Dear Dr. Marumoto-Thank you very much for doing my knee surgery. I am feeling much better after the physical therapy sessions. I hope I can continue doing sports soon!

