The Journal of Bone and Joint Surgery

Image Quiz
Pain, Swelling, and Deformity of the Wrist After Falling on an Outstretched Hand¹
A twenty-five-year-old male carpenter fell from a height of 20 ft (6 m) onto his outstretched left hand. He was first seen at a remote nursing station in the Arctic with pain, swelling, and a deformity of the wrist. He was transferred to a rural hospital, where radiographs were made and sent digitally to our center. Ten days after the injury, he was airlifted to our center.
Neurovascular examination of the extremity revealed normal findings. There was circumferential swelling of the left wrist, with a small abrasion and an osseous prominence about the region of the scaphoid tubercle. The range of motion of the wrist was decreased and painful. Posteroanterior, lateral, and oblique radiographs of the wrist were made (Figs. 1-A , 1-B, and 1-C).
For larger view, click on image
Fig. 1-A	Fig. 1-B	Fig. 1-C