Wrist Ligament Injuries

Wrist ligament injuries occur when the structures that stabilise the wrist are stretched, torn or disrupted. Ligaments connect the small bones of the wrist and are essential for maintaining alignment and smooth movement.

These injuries often occur following a fall onto an outstretched hand or a forceful twisting injury. Depending on the severity, the ligament may be mildly stretched or completely torn.

Symptoms can range from mild pain to significant instability of the wrist. In some cases, untreated ligament injuries can lead to long-term problems with movement, strength and joint alignment.

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Diagnosis is based on clinical assessment and imaging.

This typically includes:

• Examination of wrist movement and stability
• Assessment of pain and function
• X-rays to assess alignment of the wrist bones
• MRI or CT scans in selected cases to assess ligament injury

These investigations help determine the severity of the injury and guide treatment decisions.

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Treatment depends on the severity of the injury and the degree of instability.

Non-surgical treatment may include:

• Immobilisation with a splint or cast
• Activity modification during healing
• Physiotherapy to restore strength and control

If the ligament is significantly damaged or the wrist remains unstable, surgical treatment may be recommended to repair or reconstruct the ligament.

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When surgical treatment is required, the aim is to restore stability to the wrist.

Procedures may include:

• Repair of the damaged ligament
• Reconstruction using tendon grafts
• Stabilisation of the wrist bones

The type of procedure depends on the ligament involved and the severity of the injury.

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Recovery depends on the severity of the injury and treatment performed.

Recovery typically involves:

• A period of immobilisation
• Gradual return to movement
• Physiotherapy to restore strength and control

Recovery timelines vary, and improvement may take several months, particularly in more complex injuries.

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As with any surgical procedure, there are potential risks, although these are uncommon.

Possible complications include:

• Infection (around 1%), usually treated with antibiotics
• Swelling or stiffness, which may take time to settle
• Scar sensitivity
• Nerve irritation or injury (rare)
• Ongoing pain or discomfort, which typically improves over time
• Recurrence of symptoms (uncommon)
• Residual symptoms, particularly if the condition was advanced before treatment
• Persistent instability of the wrist
• Reduced range of movement

Very rarely, a condition known as complex regional pain syndrome (CRPS) can occur, leading to prolonged pain and sensitivity.

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You should seek medical advice if you experience persistent wrist pain, swelling or a feeling of instability, particularly following an injury.

Early assessment is important, as ligament injuries can be difficult to diagnose and may lead to long-term problems if left untreated

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