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Pain on the pinkie (ulnar) side of the wrist is very common. It can result from injury to bones, cartilage, ligaments or tendons. CAUSES. Due to the many parts in this âpinkieâ side of the wrist, determining the cause of ulnar-sided wrist pain can be very difficult. Your hand doctor will examine your wrist to see where the pain is located and how the wrist moves. X-rays might be taken. Sometimes other studies such as a CT scan or MRI might be needed.
Signs and Symptoms of Extensor Carpi Ulnaris Injury and Pain. 1  Experiencing an excruciating sharp pain and discomfort on the outer part of the wrist. 2  An extremely weak grip can be a sign of extensor carpi ulnaris injury. 3  Any twisting motion of the wrist like opening a door can cause immense pain in the wrist.