You are here

Article Text

Article menu

Download PDFPDF

Self assessment questions
Pain in the right wrist
Free
  1. S Shyamsundar,
  2. A L Pimpalnerkar
  1. Department of Orthopaedics, Royal Bournemouth Hospital, Bournemouth, UK
  1. Lt Cmdr A L Pimpalnerkar, Department of Orthopaedics, Royal Hospital Haslar, Gosport, Hants PO12 2AA, UK

http://dx.doi.org/10.1136/pmj.76.897.433

Statistics from Altmetric.com

    Answers on p 445.

    A 29 year old female typist presented with a two year history of pain in her right wrist. There was no history of trauma nor was there a history of any other musculoskeletal disorder. Earlier radiographs (fig 1) and clinical examination had proved inconclusive. Subsequent radiographs were taken eight and 12 months later (figs 2 and3).    

    Figure 1
    Figure 1

    Radiograph of the wrist taken previously.

    Figure 2
    Figure 2

    Radiograph of the wrist taken eight months later.

    Figure 3
    Figure 3

    Radiograph of the wrist taken 12 months later.

    Questions

    (1)
    Describe the radiographic features in figs 1, 2, and 3.
    (2)
    What is the clinical diagnosis? What investigation would have helped clinch the diagnosis at the first presentation.
    (3)
    What would be your line of management for this patient? Rationalise your answer.

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Copyright information:

    The Fellowship of Postgraduate Medicine