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IN HAND VOLUME 2 ISSUE 1 2018
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A HAND
Ulnar Sided Wrist Tissue Issues
Wendy Medeiros, OTH, CHT (retired 2014) has been a speaker at Hand conferences around the world, most recently at the BAHT in London. She developed the Weight Bearing Test as an affordable and easy method of understanding TFCC injuries and monitor healing progress. Additionally she created the WristWidgetTM which has treated TFCC injuries in 152 countries. She can be found at: wristwiget.com Facebook Twitter Instagram YouTube White Paper Email
A tear of the Triangular Fibrocartilage Complex of the wrist is a surprisingly common and difficult injury to understand. It is also a devastating injury for people all around the globe. Since 2006 over 500,000 people have visited my website, wristwidget.com, searching for an answer to their TFCC
injury. Interestingly, the visitors are equally divided between male and female. The average age is between 18 and 25. Of these, over 40,000 patients were analyzed over many long
arduous interviews, and with the data garnered I can present to you with great clarity what I have learned.
I started back in 2006, I collected reliable data, MRI’s, Xrays, blood work analysis, grip and pinch strength, in- depth conversations about symptoms and treatments, etc. I articulated a weight- bearing test as an improvement to the press test. Most people do not have access to a dynamometer, MRIs, or a
hand specialist. A non-digital scale was used to test patients wrists with a simple instruction, “palm flat, elbow straight, no rotation of the arm, and lean over wrist and push down. Both wrists are
tested. Because people have a very hard time pushing down and holding a particular force, digital scales were not
reliable.
Weight bearing tolerance in the adult wrist is typically 65 lbs. Men have more stability than women although not always.
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