An exact knowledge of the value of different pictorial diagnostic techniques allows a focussed and rapid diagnosis of ulnar wrist pain. A prerequisite for the choice of the best possible method of investigation is an exact clinical examination. The basic examination involves conventional recording at both the centralised at the symptomatic levels. If there is a suspicion of occult bone lesion, finely focused, magnified graphics, CT or bone scintigraphy should be used, depending on both the problem faced and availability. For tissue or ligament lesions, stress graphics, movement studies or MRT, also with contrast media, should be used. Bone scintigraphy is a suitable method to differentiate between inflammatory tissue and/or bone changes.