Purpose of the Review <p>The purpose of this paper is to discuss the various clinical presentations of dorsal wrist impingement syndrome (DWIS) and to provide a guide to practicing clinicians for its evaluation, diagnosis, and management.</p> Recent Findings <p>A comprehensive patient history, detailed physical examination, and appropriate imaging studies are essential for identifying the anatomical structures involved in DWIS and formulating an effective management plan. Most cases of DWIS improve with conservative measures; however, surgical intervention based on underlying structural pathology may be offered for refractory cases to ultimately improve pain and functional outcomes.</p> Summary <p>DWIS is a term that has historically been used in literature to describe painful capsular impingement at the dorsal wrist; however, various other dorsal wrist bony and soft tissue structures may contribute to impingement symptoms. Current literature primarily provides general guidelines for non-operative management, including splint immobilization, oral and topical analgesics, and hand therapy. This underscores the need for more refined treatment protocols tailored to the spectrum of underlying pathologies.</p>