This week's "Quick Hit" is a radiology case question for our theme of wrestling and combat sports.
A 13 y/o female wrestler presents to your clinic with left wrist pain following a FOOSH-type injury the previous day. She has some swelling and tenderness over the wrist, but all of her bony landmarks are non-tender. You note the ulnar styloid is more prominent on the left wrist compared to the right, and there is increased motion at the distal radioulnar joint (DRUJ). She also experiences pain with grip. Her X-rays are shown below with lateral and cross-table supination views.
What is her diagnosis, and what is the most appropriate course of treatment? The answer can be found in the comments.
says... Posted Friday, October 26, 2018
And the answer is...
DRUJ instability with reduction in supination; long arm cast in supination for 4 weeks.