This 11-year-old female presents with chronic left wrist pain. Patient states they fell one year prior, and landed on wrist. Still having a lot of wrist pain with weight-bearing and extension. No surgery. No injections. No cancer.
(QUIZ ANSWER) PRIMARY FINDING:
Palmer 1 A abnormality.
Using the diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.
Ligaments: The scapholunate and lunotriquetral ligaments are normal. A central perforation of the TFC disc is present. The remaining portions of the TFCC are intact.
Bone Marrow: No fracture is identified. Bone marrow signal appears appropriate.
Extensor Tendons: Intact.
Carpal Tunnel Contents: Intact.
Soft Tissues: Intact.
Central perforation of the TFC disc (Palmer classification 1A). Positive ulnar variance posture on this static exam may be amplified by conically shaped lunate creating functional abutment.
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Content reviewed: September 28, 2021