with severe pain in the affected finger, swelling, tenderness on firmly touching the affected region of the bone, markedly reduced finger function and sometimes bony deformity. Wrist impingement / impaction syndromes Pain in the wrist due to compression or pinching of structures within the wrist joint usually during a traumatic end of range wrist movement (e.g. a fall onto an outstretched hand), typically with the wrist in extension and in combination with weight bearing forces through the affected wrist (such as during gymnastics). Symptoms may increase on firmly touching the affected region of the wrist and on certain wrist movements (e.g. wrist extension in weight bearing - figure 6). Figure 6 ? Wrist Extension in Weight Bearing TFCC Tear Damage to cartilage tissue located on the little finger side of the wrist joint (Triangular Fibro-Cartilaginous Complex TFCC - figure 7) usually due to excessive compression forces often in association with twisting or side bending forces through the wrist such as a fall onto an outstretched hand, or during gymnastics, racquet sports or manual work such as using a hammer. Pain is usually located on the little finger side of the wrist and can occasionally radiate into the forearm or hand. There is usually tenderness on firmly touching the affected tissue and often swelling. Reduced grip strength may also be present. In some cases a clicking or catching sensation may be experienced during certain wrist movements. Tearing of connective tissue surrounding one of the finger joints with subsequent displacement and separation