Imaging Case of the Week 46

Imaging Case of the Week 46


The following wrist x-rays are from a 30 year old man who has presented after a FOOSH injury to his wrist. What can you see?

wrist x-ray AP

click to enlarge

wrist x-ray lateral

click to enlarge

[peekaboo_link name=”Answer”]Answer[/peekaboo_link]
[peekaboo_content name=”Answer”]

The AP view of the wrist shows a screw placed in the scaphoid (scaphoid fracture from previous injury). But the carpal bones appear quite crowded as they should normally have a distance of 1-2 mm between them.

The lateral view shows a peri lunate dislocation. The capitate with its distal bony attachments is lying posterior to the lunate.

Perilunate dislocation

click to enlarge

Thanks to John Larkin for the images.

[/peekaboo_content]

This entry was posted in Advanced EM Cases, Imaging Case of the Week by Prathibha. Bookmark the permalink.

About Prathibha

FACEM, Advanced EKG-Board Certified (American Board of Cardiovascular Medicine), Specialty Certificate in Acute Medicine (MRCP UK) with an interest in emergency radiology.




Source link

Leave a Reply

Your email address will not be published. Required fields are marked *