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Scapholunate Injuries

The scapholunate ligament is important for carpal bone stability. It is commonly injured after a fall onto an outstretched hand, but can sometimes also result from a degenerative rupture.

You may present with pain localised to the back of the hand on the thumb side of the wrist. There may be pain that worsens when loading the wrist, as well as clicking in the wrist, and instability or a feeling of weakness.

Formal assessment of your wrist should be completed to determine the appropriate management of this injury, however treatment may involve splinting and wrist stability exercises. On occasion, surgical management may be required which will involve ligament repair or reconstruction. Hand therapy are likely to see you after your surgery to splint and rehabilitate your wrist.

Triangular Fibrocartilage Complex (TFCC) Injuries

The TFCC acts as a wrist stabiliser on the ulnar side (little finger side) of your wrist. This structure is commonly injured when your wrist is forced sideways (ulnar deviation). Sometimes the injury may arise from overuse.

The pain will be localised to the outside side of your wrist and may be aggravated by weightbearing, gripping or moving the wrist. There may also be associated clicking at the wrist.

Formal assessment of your wrist should be completed to determine the appropriate management of this injury, however treatment may involve splinting and wrist stability exercises. Surgical management may be required which will involve ligament repair or reconstruction. Hand therapy are likely to see you after your surgery to splint and rehabilitate your wrist.

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