Contributors: Thomas John Carroll MD, Danielle Wilbur MD
Synopsis
Causes / typical injury mechanism: Wrist sprains are common upper-extremity injuries that often result from acute trauma or repetitive motions. Acute trauma typically involves excessive load bearing, axial force, or a twisting injury. Repetitive movements are often associated with manual labor and sport activities.
Classic history and presentation: Patients will present with pain, difficulty with wrist movement, swelling, and possibly bruising about the wrist following acute trauma or overuse activities.
Prevalence: Wrist sprains are common orthopedic upper-extremity injuries.
Risk factors:
- Overuse activities
- High-risk activities
- High-risk sports
- Falls
Pathophysiology: Wrist sprains result from partial or complete tearing of the carpal ligaments and capsular structures.
Grade / classification system: There is no specific classification system.
Triangular fibrocartilage complex (TFCC) tears and scapholunate injuries commonly share overlap in the diagnosis of wrist sprain and have specific classification systems.
Codes
ICD10CM:
S63.509A – Unspecified sprain of unspecified wrist, initial encounter
SNOMEDCT:
70704007 – Sprain of wrist
Differential Diagnosis & Pitfalls
To perform a comparison, select diagnoses from the classic differential
Last Reviewed:06/13/2023
Last Updated:07/16/2023