Abstract
<jats:p>Background and purpose To introduce using non-surgical treatment with a wrist brace even after conservative treatment failed as an alternative to surgical treatment in areas with limited modalities. Material and methods This study is a case report of a 24-year-old male who fell from a motorbike on his left hand and had difficulty supinating, extending, and flexing his left wrist. The ulnar fovea sign and piano key sign were positive. No fracture was found, only soft tissue swelling on the wrist X-ray. The MRI couldn’t be performed due to the patient’s financial and distance limitations related to the MRI facility. After 6 weeks, the conservative management failed to improve the pain in his left wrist. The patient refused surgery and chose to wear a wrist brace (Wrist Widget®). Result After using a wrist brace for 6 months, the patient’s weight-bearing capacity returned to 100%, and his DASH score improved from 70 to 0. The piano key sign was negative; the patient’s wrist ROM returned to 100%, and he can do daily activities without any pain. Finally, the MRI was done at the end of the 6th month since the patient had sufficient funds. This case’s injury type is a partial type 1B tear which is an ulnar avulsion without an ulnar fracture and with DRUJ instability. This type is often associated with DRUJ instability and needs cautious evaluation. This type has good blood supply because the injury location is located more in the periphery, which is the most compliant to repair and has a good healing feature. On the MRI, there is hyperintensity, which suggests a sign of healing of the TFCC. Conclusion During 6 months of regular usage of this brace, the patient's injured wrist fully recovered. It is still possible to use non-surgical treatment even after conservative treatment has failed.</jats:p>