MedPix® Patient Chart - Case No: 7067 :: Imaging - Review Images

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History

Age: 23 :: Gender: man

Patient History

23-year-old male with left wrist pain following fall on outstretched hand (FOOSH).

Exam


Physical Exam and Laboratory

TTP left wrist with decreased ROM.


Findings


Summary of Findings

Frontal radiograph of the wrist shows a "pie shaped" lunate. Lateral radiograph shows the lunate to be tilted and dislocated volarly, with the capitate remaining nearly collinear with the radius. There is an associated ulnar styloid fracture visible on both images.


Diffferential


Differential Diagnosis

Lunate dislocation (stage IV injury)
Midcarpal dislocation (stage III injury)
(There is often overlap of radiographic appearance of these two entities.)


Diagnosis


Diagnosis

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Treatment


Treatment and Followup

Treatment not available without Diagnosis

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Topic

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Case Contributor and Editor
Topic Author(s): Grant Lattin
Submitted by: James M McKee - Author Info
Case/Image Editor: James C Mosure - Editor Info
Case Accepted: :: Revised: :: Submitted:
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