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A Bad Trip

Author: Lindsay Walsh, MD 
Peer-Reviewer and Final Editor: Alex Tomesch, MD, CAQ-SM

A 76 yo female presents to the ED with a complaint of left wrist pain after a witnessed mechanical ground-level fall on cobblestone 1 hour ago. She endorses worsening discomfort in the left wrist, with some numbness of her left fingers. Her left wrist is tender to palpation with an obvious deformity. There is a wound overlying the deformity. Her physical exam findings and x-ray are shown below: 

Image 1. Physical exam findings on affected upper extremity. Author’s own image. 

Image 2. Radiograph of left wrist, Author’s own image. 


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