Lunotriquetral Ligament Injuries are rare traumatic injuries to the wrist that can lead to volar intercalated segment instability (VISI) which is caused by a combination of injury to the lunotriquetral ligament and the dorsal radiocarpal ligament. Diagnosis can be made with lateral radiographs of the wrist with the presence of volar flexion of the lunate with a scapholunate angle < 30°. Treatment is usually surgical management which may range from closed reduction with pinning and ligament repair for acute instability, and lunotriquetral fusion for chronic instability.