Inclusion Criteria:  Provision of signed and dated informed consent form Stated willingness to comply with all study procedures and availability for the duration of the study Have symptomatic injuries to either their finger PIP collateral ligaments, thumb UCL ligaments, or wrist SL ligaments and have failed non-operative management for the above ligament injuries (thus eligible for operative reconstruction) Age over 18 years  Exclusion Criteria:  Presence of any other current injury in that limb Presence of advanced arthrosis in that limb Presence of fixed joint deformity in that limb Presence of instability in that limb due to bony or articular instability Presence of instability in that limb due to inflammatory arthrosis Is under 18 years of age Lacks the capacity to consent