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Wrist Case 1

 

The radiographs are of a female patient (age 50) suffering with a swollen wrist for 6months, insidious onset with no trauma. Very tender particularly more dorsal and radially. Very restricted with pain on palmar and dorsiflexion. The radiographs were forwarded to Dr Mark Werking for comment.

Dr Werking's impressions are as follows: The majors are a posterior distal radius, an anterior lunate and separation of the distal radius and ulna. There appears to be an old fracture of the styloid process of the ulna. Notice the slight extension position of the wrist in the lateral view. This is indicative of an anterior lunate malposition. 

 
 

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