Computed tomography (CT) scanning has transformed medical imaging over the past five decades, evolving from a pioneering technology to a cornerstone of modern diagnostics. The first CT scan on a human patient was conducted on 1 October 1971 at Atkinson Morley Hospital in Wimbledon, England, marking the beginning of a new era in noninvasive imaging. Innovations such as multidetector systems, faster gantry rotation speeds, spectral imaging, dose-reduction algorithms, and the integration of artificial intelligence have significantly expanded CT capabilities. These developments, bolstered by advances in computer technology and engineering, have enhanced image quality and broadened clinical applications. Today, CT is widely used for evaluating bony abnormalities in the hand and wrist, benefiting from its high resolution and increasing accessibility. Recent technological breakthroughs have further expanded its utility to soft tissue assessment and dynamic imaging. With optimised workflows, a wrist CT scan can now be performed in the time it takes to obtain plain radiographs in multiple views, often with a comparable radiation dose.