Table of contents :
\n\nA wrist sprain is a partial or complete tear of the ligaments that connect the small bones of the wrist. Multiple ligaments are involved, and injury patterns can vary significantly depending on which structures are affected.
\nWrist sprains are usually caused by twisting, forced flexion or extension, or direct trauma. The bones remain intact, but the ligaments that stabilize them are injured. There is no fracture, only a stretching or tearing of one or more ligaments.
\nWithout early treatment, a wrist sprain may progress to gradual joint degeneration and osteoarthritis of the wrist.
\nMany ligament injuries commonly referred to as “sprains” or “minor strains” are in fact very different in severity. Because symptoms are sometimes mild, these injuries are often overlooked or misdiagnosed, even though they may lead to long-term functional impairment.
\nThis is why evaluation by a specialist is important to establish an accurate diagnosis. Work stoppage may be necessary depending on severity.
\nAfter the trauma or “wrong movement” that may have caused the sprain, persistent wrist pain can last for several weeks.
\nA wrist sprain does not always cause visible swelling (edema) or bruising.
\nThere is no direct correlation between pain intensity and severity of injury. A severe ligament injury with long-term consequences may cause only mild pain.
\nIt is important to consult a doctor promptly after a wrist injury. Even though it is common, accurate diagnosis is often difficult.
\nDiagnosis is based first on a clinical examination by a physician or specialist.
\nAdditional imaging tests are usually required (X-ray and CT arthrogram). A CT arthrogram involves injecting contrast material into the wrist to visualize ligaments and cartilage. It is performed in specialized centers.
\nThese tests help assess the severity of the injury, although they are only part of the diagnostic process. Arthroscopy may sometimes be required for definitive diagnosis.
\nA mild wrist sprain involves ligament stretching without tearing.
\nHow long does it take to heal? Mild wrist sprains usually heal spontaneously within a few weeks.
\nImmobilization is not always necessary, but rest is recommended. A thermoformed splint may be used to speed up recovery.
\nWrist arthroscopy is the treatment of choice when ligament damage is suspected. It allows both diagnosis and treatment in the same procedure.
\nArthroscopy is also used when further diagnostic clarification is needed before deciding on more invasive surgery. It is the only method that allows precise assessment of the presence and extent of ligament tears.
\nDuring the procedure, a miniature camera is inserted into the joint to evaluate ligament damage.
\nArthroscopy can stabilize the joint, remove damaged ligament fragments, and sometimes repair them to reduce pain. Temporary pinning may also be used.
\nHow long is immobilization? Immobilization typically lasts 2 to 6 weeks depending on injury severity.
\nIn advanced cases, especially after scapholunate ligament rupture, more complex surgery may be required.
\nOptions include ligament reconstruction (graft), bone removal procedures, or partial wrist fusion.
\nThese procedures generally result in reduced wrist mobility, and some residual pain may persist.
\nSuch surgery is usually considered a last resort to preserve function and avoid complete wrist stiffness.
\nWhen treated early, outcomes are generally very good, even in severe cases.
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