radER vol. 1.6

Case 1.6

A 49-year old man fell off a ladder 4 days ago and continues to have pain in his right wrist. He denies pain in other parts of his body.  On examination, there is tenderness and swelling at the dorsal medial aspect of his wrist.  The patient receives a dose of oral analgesic medication.  The following radiograhs are obtained.

Questions

1.  What is the radiographic diagnosis?

2.  What is the most appropriate ED treatment and follow up?

radER is a weekly contest, hosted by Dr. Kerin Jones’ “Fracture”,  consisting of a radiograph selected from various areas of emergency medicine that are central to the education of medical students and residents in training.

2 Responses

  1. 1. perilunate dislocation
    2. splint, ortho follow up within 3 days

  2. Triquetral chip fracture

    Treated symptomatically with immobilization. Outpt ortho follow up in case of nonunion (only for body fractures – chip fractures = no big deal)

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: