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Thread: Wrist injury

  1. 07-03-2020 05:41 PM #1
    blane1
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    Human Body
    Brief Medical History Overview

    Age: 30's, Female, Presenting Problem Since: 28 days, Symptom Behaviour: isq, Symptoms Worse (24hr Behaviour): no pattern, Aggravating Factors:: movement but currently n caste so limited), Easing Factors:: not moving (like at all for 3 days solid, Investigations: xray nad x2 11 days apart, No Diabetes, No history of High Blood Pressure, No Medications, No Osteoporosis, No Hx of Cancer, No Unexplained Weight Loss, No Bowel/Bladder issues

    Major problem / Symptomatic Areas

    Wrist, Hand - Posterior - Left

    Cool Wrist injury

    Physical Agents In Rehabilitation
    28 days ago FOOSH (Fell on outstretched hand)
    possibly angular fall (stepping around someone)
    Pain on dorsal aspect radial side
    TOP lunate from dorsal side
    2x NAD xrays 11 days apart
    Aw MRI results (due next week)
    Pain pattern from wrist into median nerve pattern
    pain ++ with radial dev
    now in a caste- phenomenal pain 8/10
    only eases if I DO ABSOLUTELY NOTHING (FOR 3 DAYS SOLID)
    worried about scaphoid fracture (that did.t show up in xrays)
    more worried about potential ligament (Scapho-lunate in particular) injuries
    definitely some kindof neuropraxia going on

    my question: is the medial nerve more likely to be irritated following g a ligament injury or a scaphoid fracture (or is everything too close together to tell?)

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  2. 08-03-2020 05:41 PM #2
    blane1
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    Re: Wrist injury

    Aircast Airselect Short Boot
    Also how clinically does one differentiate between a Neuropraxia & Acute CTS?

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