What is a Dislocated Wrist?

Your wrist is one of the most complex and delicate joints in your body. It allows a wide range of movements, which is why it is prone to injury. A dislocated wrist happens when the bones that form the wrist joint are forced out of their usual position. This can cause intense pain and visible deformity. If you suspect a dislocated wrist, it is important to seek medical help right away to avoid lasting damage.

What is a Dislocated Wrist? 

The wrist is made up of eight small bones called carpals. These bones are arranged in two rows and held together by a network of strong ligaments. The ligaments provide stability while allowing the wrist to move in various directions. Among these bones, the lunate and scaphoid are often involved in dislocations because they play a key role in connecting the wrist to the forearm bones — the radius and ulna. Understanding this basic structure helps explain why injuries in this area can be so painful and complex.

Types of Wrist Dislocations

There are several types of wrist dislocations, each involving different bones and ligaments. One common type is the anterior lunate dislocation, where the lunate bone shifts and rotates forward while the other wrist bones stay put. Perilunate dislocations are more severe. They involve the lunate bone along with the ligaments around it. Then there are fractures that occur with dislocations, such as the Galeazzi fracture, which combines a break in the radius bone with dislocation of the joint between the radius and ulna. Another fracture, the Monteggia fracture, involves a break in the ulna with dislocation of the radial head. These injuries vary in severity and often affect different age groups, with some more common in young adults and others in children.

Signs and Symptoms of a Dislocated Wrist

A dislocated wrist can be quite painful and disabling. The most obvious sign is a visible deformity where the wrist looks out of shape or swollen. The pain tends to be sharp and worsens when trying to move the wrist up, down, or side to side. Other symptoms include:

• Severe pain around the wrist
  
• Swelling and tenderness
  
• Limited ability to move the wrist or hand
  
• Weakness in the hand
  
• Tingling or numbness in the fingers, especially if nerves are compressed
  
• Bruising or discolouration
  
  

If you experience any combination of these symptoms, it is vital to get your wrist checked promptly.

Common Causes of Wrist Dislocation

Wrist dislocations usually happen due to trauma or force applied to the joint. Falling onto an outstretched hand is a very common cause, especially during sports or accidents. High-impact sports like football, hockey, or skiing often lead to these injuries. Car accidents and motor vehicle crashes are also frequent culprits. Apart from sudden trauma, repeated strain on the ligaments from activities such as walking on crutches can weaken the wrist and increase the risk of dislocation. In any case, if you have wrist pain after such events, do not ignore it.

How is a Dislocated Wrist Diagnosed?

Diagnosing a dislocated wrist starts with a physical examination. A doctor will gently move your wrist to identify painful areas and test how well you can move it. They will also check for signs that nerves, tendons, or blood vessels might be affected. Imaging is crucial to confirm the diagnosis. An X-ray usually shows the position of the bones and reveals any fractures. If ligament damage is suspected, an MRI scan can provide detailed images of soft tissues. Early and accurate diagnosis is key to avoiding complications and planning effective treatment.

Treatment Options for a Dislocated Wrist

Treatment depends on how severe the dislocation is. For less severe cases, doctors often perform a closed reduction. This means gently manipulating the bones back into place without surgery. The process can be painful, so anaesthesia is usually given. Once the bones are aligned, the wrist is immobilised with a splint or cast to allow healing. Sometimes a sling is used to support the arm.

More severe injuries require surgery. This may involve realigning the bones and repairing torn ligaments. Metal pins or screws can be used to hold the bones in the correct position during healing. Pain relief and anti-inflammatory medication are also part of the treatment plan.

Common treatments include:

• Closed reduction to realign bones
  
• Immobilisation with splints, casts, or slings
  
• Surgery to repair ligaments or fix fractures
  
• Medication for pain and inflammation
  
  

Preventing Wrist Dislocations

Prevention focuses on protecting the wrist from trauma and avoiding excessive strain. Wearing wrist guards during high-impact sports can help reduce injury risk. Learning safe falling techniques and strengthening wrist muscles also contribute to prevention. Avoid repetitive motions that put stress on your wrist, especially if you have a history of injury. Taking breaks and using proper support when using crutches or performing heavy lifting can keep your wrists healthy.

Also read : What is a Colles' Fracture

When to Seek Medical Help

If you notice sudden wrist pain following a fall, accident, or sports injury, seek medical care immediately. Signs that require urgent attention include:

• Severe wrist deformity
  
• Intense pain that does not improve
  
• Inability to move your wrist or fingers
  
• Numbness or tingling sensations
  
  

Prompt medical evaluation ensures proper diagnosis and reduces the risk of permanent damage.

Recommended Wrist Supports for Faster Recovery

Recovering from a dislocated wrist requires the right support to stabilise the joint and ease pain during healing. VibrantFit offers a range of wrist braces designed to provide gentle compression and secure immobilisation without sacrificing comfort. Their TFCC Support Wrist Brace and UltraFlex Wrist Brace are especially popular for offering targeted relief while allowing enough movement for daily tasks. For more severe injuries or post-surgery care, the Performance Wrist Brace delivers extra stability to protect against re-injury. Choosing the right wrist support can make a big difference in your recovery journey, helping you regain strength and mobility safely and confidently.

Conclusion

A dislocated wrist is a serious injury that requires immediate medical attention. Understanding the anatomy, symptoms, and causes can help you recognise the injury early. Treatment ranges from simple bone realignment to surgery, followed by a dedicated rehabilitation process. With timely care, most people regain full wrist function. Always seek professional advice if you suspect a dislocation, and take steps to protect your wrists during daily activities and sports.