Ligamentous injuries to the triangular fibrocartilage are often diffic
ult to evaluate. The plain film examination along with the physical ex
amination serves as the basis for the initial assessment of most wrist
injuries. Ligamentous injuries of the wrist often present at the suba
cute or chronic state with the physical examination and plain films be
ing insufficient to make a definitive diagnosis in many cases and the
plain film radiographic exam being of little additional value. This pa
per reviews the triangular fibrocartilage complex including the underl
ying anatomy and biomechanics, along with its radiographic evaluation
by modern imaging techniques.