After a bad sprain to the wrist x-rays can sometimes look normal, but there may be a significant ligament injury. The commonest wrist ligament injury is to the scapho-lunate ligament, but others can also be injured. If this ligament ruptures fully it can cause ongoing pain and clicking in the wrist. If it is left untreated it can again set up a predictable pattern of arthritis is the wrist, which may lead to a stiff and painful wrist in later life. This often requires extensive surgery to try to improve the symptoms.

The shock absorbing pad on the inside of the wrist is called the TFCC (triangular fibro-cartilaginous complex). This also has a role in stabilising the two bones in the forearm: the radius and the ulna. If the TFCC is injured it can cause these bones to be unstable, or it can cause pain on the inside of the wrist.

Mr Wharton uses keyhole (arthroscopic) techniques to look around the wrist and identify ligament or TFCC problems. Some of these can be easily treated with keyhole techniques, but some require a mini-open or open approach. This surgery is undertaken as a day case with either general (asleep) or regional (nerve block around the shoulder) anaesthetic. . A plaster is sometimes applied for six weeks after the surgery, and then the patient is encouraged to move the wrist under the supervision of a hand therapist. The hand should be elevated for five days after surgery and the wound must be kept clean and dry for two weeks.

If you or someone you know has suffered an injury or is experiencing pain in their hand or wrist and would like a consultant-led review, please contact us. Grosvenor Orthopaedics have extensive experience in the treatment of this condition with excellent patient outcomes.


Grosvenor Orthopaedics have extensive experience in the treatment of hip -related injuries with excellent patient outcomes.


If you would like to learn about other hand & wrist conditions click the button below

our specialist HAND & WRIST consultants

Hand and Wrist care at Grosvenor Orthopaedics is lead by Mr Rupert Wharton who is a Consultant Trauma and Orthopaedic surgeon with an NHS base at Kingston Hospital. He is further supported by the orthopaedic team here including other consultant surgeons, nurses and care staff.

Our team are well placed to manage and treat a diverse range of hand and wrist concerns utilising cutting edge diagnostic technology and treatment approaches, both surgical and conservative. Below is an overview of some of the conditions we treat but for a more thorough understanding please contact our team here

Mr Rupert Wharton

Consultant Trauma and Orthopaedic surgeon

Dip Hand Surg (Br and Eur) | BOA Future Leaders Programme 2023 | FEBHS
Rupert Wharton is a Consultant Trauma and Orthopaedic surgeon with an NHS base at Kingston Hospital. He has an interest in injuries and degenerative conditions of the hand and wrist, and works closely with hand therapy colleagues to ensure all non operative solutions have been tried before considering surgery.

What some of our patients say

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