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A painful and deformed wrist
  1. K S David-West,
  2. E R Gardner
  1. Orthopaedic Department, Victoria Infirmary, Glasgow G42 9TY, UK
  1. Correspondence to:
 Mr Gardner

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A 54 year old man fell off stairs with his left wrist in the flexed position. He was seen in the accident and emergency department within one hour of the injury, with a painful and deformed wrist with dorsoulna displacement. There was a tingling sensation over the little finger but no objective sensory loss and good perfusion of the digits. The skin over the wrist was intact and there were no other injuries. The forearm was splinted before radiography of the wrist was performed (see fig 1).

Figure 1

Radiograph of patient's wrist.

QUESTIONS

  1. What does the radiograph show?

  2. What are the possible complications associated with this injury?

  3. How will you treat this injury?

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