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...it took several Xrays and an MRI before this abnormality was acted on. Can you see what injury this elderly lady sustained when she fell? 
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A middle aged lady fell hard, breaking some furniture in the process. She had tenderness all over the wrist (including ASB and ulnar aspect), and these Xrays. What do they show? How do you manage it?
Most of us are familiar with the anterior humeral line, used to spot supra-condylar fractures in kids (if you're not sure, click here and pay particular attention to about 1:30). But what's the other one?
And here's the next. Middle aged patient fell while at work. Reported to have ?clinical scaphoid injury. At review in clinic, all tenderness localised to the proximal pole of the scaphoid on the palmar wrist, with a 10p sized bruise. Reasonable ROM and not too much pain. What injury was missed on the Xray, how do you measure it, and what does it need?   A couple of interesting ones from today's clinic. The first's an easy one for you. Notes document a fall (now 10/7 ago) with tenderness in the ASB, non tender distal radius, and pain on telescoping the thumb and on opposition. In clinic his swelling was localised just proximal to Listers tubercle, and point tender there only. What's the diagnosis?  |
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