Management of wrist instability

SummaryThe wrist is a complex structure which has evolved to allow precise and controlled motion in all 3 planes, thus allowing the hand to be positioned perfectly. This paper reviews the normal anatomy of the wrist and how it can go wrong, resulting in static or dynamic instability. A good history, clinical examination, appropriate investigations and the use of classification systems help to localize this instability thus allowing an appropriate management plan to be formulated. Finally, various treatment options are described and explained.