Comprehending carpal instability can be intricate and demanding, necessitating a foundation in anatomy and pathophysiology. This knowledge is essential for interpreting imaging studies such as radiographs, CT, and MRI, facilitating a comprehensive and insightful diagnosis in instances of wrist instability. Familiarity with the prevalent approach and classification system for wrist instability employed by numerous hand surgeons is particularly beneficial. It enhances communication between the radiologist and the referring physician, fostering a more meaningful discussion about the diagnosis and potential treatment strategies.