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Hand and Wrist Trauma | Orthopaedics

Orthopaedics

Hand and Wrist Trauma

A hand or wrist injury can make it hard to do everyday activities. Our compassionate team supports your recovery and helps you restart your usual routine.

Medically reviewed by Amelia Sorensen, M.D. on July 09, 2026.

Hand specialist looking at person with hand trauma.

Specialized Care for Hand and Wrist Trauma

At UC Davis Health, our Combined Hand Service brings together a team of experts who specialize in hand and wrist care. We give you detailed evaluations and advanced treatment for hand and wrist injuries. People of all ages can find skilled and compassionate care with our hand surgery team.

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Types of Hand and Wrist Trauma

Hand and wrist trauma includes injuries like broken bones or torn ligaments and cut tendons. Together, your hand and wrist have 27 bones. Ligaments in your hand and wrist connect your bones to each other, while tendons connect your bones to muscle. Your nerves control movement and feeling. Traumatic injuries can damage any of these structures.

The main types of hand and wrist trauma include:

  • Dislocation: Bone that moved out of its joint
  • Fracture: Break in a bone
  • Laceration: Cut in the skin and, sometimes, deeper tissues
  • Nerve injury: Damage to a nerve
  • Sprain: Stretched or torn ligament
  • Strain: Stretched or torn muscle or tendon

Some common hand and wrist injuries include fractured hand, fractured wrist, sprained wrist, dislocated or sprained finger (also called a jammed finger).

Traumatic injuries to your hand and wrist typically happen suddenly and can vary from mild to severe. They differ from injuries that occur over time, such as tendinopathies and nerve compression syndromes.

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Hand and Wrist Trauma Symptoms

Symptoms of hand and wrist injuries depend on where the injury occurs and how serious it is.

Common Symptoms

Symptoms may include:

  • Bruising
  • Change in shape (disfiguration)
  • Difficulty moving the injured area
  • Loss of strength
  • Numbness or tingling
  • Pain
  • Swelling
  • Tenderness
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Hand and Wrist Trauma Causes

You rely on your hands and wrists every day for much of what you do. Because you use them so often, they are frequently exposed to potential injury. Common causes of hand and wrist trauma include:

Accidents

An accident at work or home can cause a hard blow to your hand or wrist. Severe crushing or cutting injuries can also occur.

Falls

Your hands are the first line of defense to protect the rest of your body when you fall. The force on your hands and wrists when you catch yourself can cause an injury.

Sports

Sporting activities are a common cause of hand and wrist injuries, often due to extreme bending or high-energy impact.

Learn about sports-related orthopaedic conditions
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Risk Factors for Hand and Wrist Trauma

Factors that may increase your risk of hand and wrist trauma include:

Job-Related Hazards

Fields of work that involve manual labor, machinery, sharp objects or repetitive use can increase your risk of hand and wrist trauma.

Read about occupational orthopaedic conditions
Previous Injury

Past trauma to your hand or wrist can increase your chances of another injury.

Sports Participation

Hand or wrist injuries can occur in nearly any sport, especially those involving contact, catching and gripping.

Older Age

Age-related changes in bone density, joint flexibility and muscle strength can make injuries more likely. The risk of falls also increases with age.

Explore our care for older adults
Younger Age

Children are at increased risk because of their high activity levels, growing bones and developing coordination. Young adults are also more prone to injury due to physically demanding work, sports participation and risky behaviors.

See our pediatric orthopaedic services
Fatigue, Inattention and Substance Use

Being tired, not paying attention and using alcohol and drugs can make accidents more likely.

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Hand and Wrist Trauma Diagnosis and Testing

Diagnosis typically starts with a physical exam when you seek routine, urgent or emergency care for hand or wrist trauma. We review your medical history, symptoms and how the injury occurred. We may also recommend tests, such as:

Arthrogram

An arthrogram is a specialized test to evaluate a joint, such as your wrist. It involves injecting dye into your joint, which is visible to X-ray, MRI or CT imaging.

CT Scan

A CT scan uses X-rays taken from many angles to produce cross-sectional images. We use this test to assess the bones and joints of your hand and wrist.

Electromyography and Nerve Conduction Studies

These tests measure electrical activity in the muscles and nerves to detect nerve damage.

MRI Scan

MRI scans use strong magnets and radio waves to create detailed images of internal structures. They are especially useful for assessing your muscles, ligaments, tendons and nerves.

X-rays

X-rays of your hand and wrist can show fractures and dislocated joints.

Hand and Wrist Trauma Treatments

Treatment can help relieve symptoms and restore function to your injured hand or wrist. Nonsurgical treatments are usually the first choice, followed by surgery if needed. Treatments we recommend or offer include:

RICE Therapy

RICE includes strategies to reduce inflammation and promote healing. It stands for Rest, Ice, Compression and Elevation. It means you avoid moving the injured area, apply ice to it for 20 minutes at a time, wrap it tightly in a bandage and raise it higher than the level of your heart.

Medications

Nonsteroidal anti-inflammatory medications (NSAIDS) reduce pain and swelling.

Splints and Casts

A splint is a removable brace that gives your hand and wrist support but limits their movement. A cast keeps the injured area from moving at all and stays on for longer than a splint does.

Physical Therapy

Physical therapists provide in-depth evaluations and design personalized plans to improve your strength, flexibility and movement. We may recommend physical therapy to treat a hand or wrist injury or to help you heal after surgery.

Explore our services in physical medicine and rehabilitation
Surgery

Surgery can help align a dislocated bone or repair a torn ligament or tendon. For a fracture, we may insert pins, screws and plates to stabilize your bone. Our hand surgeons also use advanced microvascular procedures to repair nerves and blood vessels.

Learn more about hand surgery
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Hand and Wrist Trauma Prevention

You can’t always prevent hand and wrist injuries, but these strategies can help.

Maintain a Safe Environment

Keep floors clear, ensure good lighting and install handrails to prevent falls.

Protect Bone and Joint Health

Get enough calcium and vitamin D and stay physically active, especially with weight-bearing exercises.

Take Breaks and Stay Alert

You can’t always prevent hand and wrist injuries, but these strategies can help.

Maintain a Safe Environment

Keep floors clear, ensure good lighting and install handrails to prevent falls.

Protect Bone and Joint Health

Get enough calcium and vitamin D and stay physically active, especially with weight-bearing exercises.

Take Breaks and Stay Alert

Avoid working with tools or machinery or participating in sports when you are tired or under the influence of alcohol or drugs.

Use Protective Equipment

Use gloves and wrist protection during sports and other high-risk activities.

Warm Up Properly

Stretch the muscles in your hands, wrists and arms before sports and other strenuous activities.

Each year

150KInjuries to the hand and wrist occur at work.

Falls account for

26%Of trauma-related hand injuries requiring emergency care.

Source: Bureau of Labor Statistics: Spreadsheet R2: Detailed industry by selected parts of body affected (available from Survey of Occupational Illnesses and Injuries Data)

HAND: Burden of Hand Maladies in US Emergency Departments

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