Hi, thanks for all the advice - Finklesteins was negative, and the snuff box is a bit tender, but not any more than other side...
I went to a drop-in clinic the other day to get a second (non-paranoid) opinion from a nurse. She was really nice, and didn't become defensive at all when she found out I was a graduate physio. (often happens) She seemed to think it was very unlikely to be a # because of the low intensity pain, although she was leaning more towards a repetitive strain injury, which I disagree with, as I cannot elicit the pain on resisted movements in any range. She also thought that I was unlikely to get a xray referral with the presentation.
I am, myself leaning towards a minor ligament sprain. (?Palmer radiocarpal ligament) The only reason I discounted this at the beginning was the unusual movement-pain pattern considering the site of the pain (i.e. lengthening at the site of pain, by extending and ulnar deviating wrist, was painless) But after looking more indepth at the anatomy of the wrist it would appear that radial deviation actually causes more of a separation between the distal radius and the scaphoid than any other movement. The pain is also at the end of range - which would suggest ligament also.
I have resorted to localised rest (although this is harder than it sounds on a dominant wrist) with movement in pain-free ranges and heat therapy (as it is now sub-acute/chronic stage).
Would appreciate any views on my thoughts/logic or any further treatment advice.
Will keep you updated.






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