All conditions

Little-finger side of the wrist

Ulnar impaction syndrome

Pressure between the ulna, wrist bones and TFCC can cause pain on the little-finger side. Other conditions can feel similar, so examination and often imaging are needed.

The ulna, carpal bones and TFCC lie on the little-finger side. Increased pressure in this area can cause symptoms.

ANATOMY AT A GLANCE

The ulna, carpal bones and TFCC lie on the little-finger side. Increased pressure in this area can cause symptoms.

Schematic illustration · Click to enlarge. New illustration – anatomical review pending.

Typical symptoms

Pain on the little-finger side may worsen when rotating the forearm or leaning on the hand. Grinding or catching can occur.

How is the cause assessed?

Examination and often imaging are needed. TFCC injuries and other conditions on this side of the wrist can cause similar pain.

Consider other causes

TFCC injuries, tendon problems and joint changes can produce similar pain. The TFCC is a ligament and fibrocartilage complex that helps stabilise this side of the wrist.

Treatment options

Without surgery

Activity adjustment and a suitable wrist support may ease symptoms. A clinician should assess the cause.

Surgical options

Surgery such as ulnar shortening is considered only after diagnosis and for persistent significant symptoms.

Suitable treatment depends on the confirmed diagnosis, examination findings and your individual needs.

When to seek an examination

Persistent pain during rotation or weight bearing and painful catching warrant specialist assessment. After injury, fractures and ligament damage also need consideration.

Sources & editorial status

American Society for Surgery of the Hand (ASSH)

Ulnar Wrist Pain · English

Updated: 3 Oct 2026 · Web text approved for medical content and design.