The treatment of lunotriquetral interosseous (LTIO) ligament injuries is co
ntroversial. It is part of a spectrum of injuries involving the ulnar side
of the wrist. Associated injuries may play a greater role in the outcome of
treatment than does the LTIO injury. Arthroscopy is the most accurate diag
nostic tool available for the evaluation of LTIO Ligament injuries; it allo
ws diagnosis and often treatment of associated injuries. This article descr
ibes the current approach to the diagnosis and treatment of LTIO ligament i
njuries and related use of arthroscopy.