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Hand and Wrist · Hand and Upper Extremity

Hand and Wrist Tendon Injuries

Cuts, ruptures and overuse injuries of the tendons that bend and straighten the fingers and wrist, including mallet finger, jersey finger and tendinitis.
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Hand and Wrist · Hand and Upper Extremity

Hand and Wrist Ligament Sprains

Stretched or torn ligaments in the wrist, thumb and fingers, including skier thumb and jammed fingers. Most heal with splinting; complete tears may need repair.
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Hand and Wrist · Hand and Upper Extremity

Nerve Injuries of the Hand and Arm

Cuts, crush injuries and stretch injuries to the nerves of the hand and arm, causing numbness and weakness. Timing matters because nerves recover slowly and only when repaired early.
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Hand and Wrist · Hand and Upper Extremity

Finger and Thumb Dislocations

A finger or thumb joint knocked out of place, usually by a ball or a fall. Reduced promptly, then protected so the ligaments heal and the joint stays stable.
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Hand and Wrist · Hand and Upper Extremity

TFCC Tear

A tear of the cartilage and ligament complex on the small-finger side of the wrist, causing pain with twisting and weight bearing. From a fall or from years of load.
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Hand and Wrist · Hand and Upper Extremity

Congenital Hand Conditions

Hand differences present from birth, from trigger thumb and extra or joined fingers to underdeveloped thumbs. Evaluated early, treated when it improves function.
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Elbow · Hand and Upper Extremity

Complex Upper Extremity Trauma

Severe injuries of the hand, wrist, forearm and elbow: open fractures, crush and saw injuries, combined bone, tendon and nerve damage, and injuries that need reconstruction.
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ContactTalk toa real person.
Two clinics, one number to call or text. Same-day appointments for acute injuries whenever we can. The front desk will match you with the right surgeon.
Provo1055 N 300 W, Ste 104
Orem700 W 800 N, Ste 330
What it is

Hand and Wrist Ligament Sprains

Ligaments connect bone to bone at every joint of the hand and wrist.
A fall, a twist or a jammed finger stretches or tears them. Most heal. Some, like the thumb ligament torn in skier thumb, retract and will not heal without repair.The wrist sprain that never gets better is often a torn ligament or a missed fracture.
Treated by
M. Shane Frazier, DO, Hand and Upper Extremity surgeon at Ridgeline Orthopedic Specialists
Dr. FrazierHand and Upper Extremity
Toby Johnson, MD, Hand and Upper Extremity surgeon at Ridgeline Orthopedic Specialists
Dr. JohnsonHand and Upper Extremity
Travis Peterson, DO, Hand and Upper Extremity surgeon at Ridgeline Orthopedic Specialists
Dr. PetersonHand and Upper Extremity
Hand and Wrist Ligament Sprains

Symptoms

Pain, swelling and bruising at a joint after an injury.Instability, a joint that feels loose or gives way with pinch or grip. A thumb that is weak pinching a key.
Pain that persists beyond two weeks deserves a hand surgeon.
Common signs
Pain and swelling at a joint
Joint feels loose
Weak pinch
Bruising after injury
See us sooner if
Pain beyond two weeks
Thumb that gives way pinching
Hand and Wrist Ligament Sprains

Causes

Falls onto the hand, a ski pole wrenching the thumb, ball strikes to the fingertip, and twisting injuries in sports and work.Repeat sprains of the same joint point to a ligament that healed loose.
Hand and Wrist Ligament Sprains

How We Diagnose It

Exam stresses each ligament and compares it with the other hand.X-rays rule out fractures and avulsions. Ultrasound or MRI confirms a complete tear and whether the ends are displaced.A displaced thumb ligament, the Stener lesion, cannot heal in a splint.Skier thumb is common every winter; a splint or a repair depends on whether the ligament is displaced. Dr. Frazier, Dr. Johnson and Dr. Peterson operate at Utah Valley Hospital and Orem Community Hospital.
Hand and Wrist Ligament Sprains

Treatment Options

Partial sprains heal in a splint or cast for three to six weeks with therapy afterward.
Complete thumb ligament tears and unstable finger joints are repaired surgically, usually within a few weeks of injury.Chronic instability is treated with ligament reconstruction.
Your options
Non-surgical
Splint or cast
Hand therapy
Surgical
Ligament repair
Reconstruction
Related
Hand and Wrist Ligament Sprains

Procedures That Address It

Hand and Wrist Ligament Sprains

Surgeons Who Treat It

Dr. Frazier, DO
Fellowship trained in hand and upper extremity surgery at the University of Pittsburgh. Seventeen years in practice. Fluent in Spanish.
Dr. Johnson, MD
Weill Cornell graduate, hand fellowship at Allegheny General. Twenty-one years in practice and seventeen as a collegiate team physician.
Dr. Peterson, DO
Hand surgery fellowship at UMass Chan. Office-based, wide-awake carpal tunnel release. Fifteen years in practice. Speaks German.
ContactTalk toa real person.
Two clinics, one number to call or text. Same-day appointments for acute injuries whenever we can. The front desk will match you with the right surgeon.
Provo1055 N 300 W, Ste 104
Orem700 W 800 N, Ste 330