Sports-related injuries of the hand and wrist include lesions of the bones, joints, ligaments, tendons and muscles. In many cases, radiologic imaging procedures are indispensible for the depiction, localization and accurate diagnosis of these lesions. This article reviews the role and potential of current imaging modalities such as conventional radiography, fluoroscopic examinations, arthrography, computed tomography (CT), ultrasound, and magnetic resonance (MR) imaging for the diagnostic work-up of typical osseous and soft tissue injuries in sports medicine.