Published Paper Details:

Background: TFCC is a load bearing structure on the ulnar aspect of wrist. As a evidence based practitioner physical therapist need to consider diagnostic accuracy of the test. The purpose of the study was to evaluate sensitivity and specificity of the test to rule in or rule out the injury. Method: A cross sectional study was performed from Jan 22 to June 22. A purposive sampling technique was applied to select 7 participants. The special test was performed on the participants and the results were compared with the gold standard (MRI). The participants were categorized in the respective groups and sensitivity and specificity were calculated. Results: Prevalence of the injury among the general population was 27% and 49% involving both traumatic and degenerative injury respectively. The TFCC compression test is neither sensitive nor specific for ruling in or ruling out TFCC injury(SN:0.14,SP:0.00)(p value less than 0.005). Conclusion: It is clearly indicated that the test have very poor diagnostic accuracy for ruling in and ruling out TFCC injury. More focus should be given to history taking and physical examination rather than considering special test as a diagnostic tool.