Chronic Wrist pain...help!!

[jenlemoine]

So I'm back again. After confirming my TOS shortly after the diagnosis I was also involved in a MVA which someone hit me & totaled my car. In that accident my right forearm was just resting on the center console until the force of her car hit mine where my arm snapped back then forward hitting the steering wheel.

After going through my full treatment of PT I thought I was on the road to recovery. I was doing semi well for a month or two but I also wasn't doing much of anything at the same time.

In October I found a new job and on my 4th shift I got stuck folding clothing for 7hrs!! I was in so much pain I wanted to cry. I know pain is not normal so I decided to go see my orthopedic Dr. again. Now this is very similar pain I had way back in 2010 but also hurt on the outer side of my forearm now too. Well my orthopedic Dr. basically says he wants me to see a specialist in Boston to rule out a TFCC tear.

First I have a normal MRI of my forearm since I still have a lump that hurts and still looks bruised (MVA happened on 6/23/11) MRI showed a 4mm focus of heterogeneous signal in the subcutaneous soft tissue adjacent to the marker I had placed on my arm. Says it can be a small resolving hematoma, or a tiny lymph node. But then says something about correlation with physical exam for whether this is the site of a recent trauma...guess the guy didn't read the notes on why I was having the MRI. But also mentions within the differential would be a tiny subcutaneous hemangioma.

Well I don't understand any of that...other than if you touch it....it hurts really bad still.

The specialist in Boston then orders a 2nd MRI an arthrogram of the wrist and this is what my results are...I don't understand any of it...can someone put it in English for me? I don't go back to see the specialist until 12/19 and I want to understand a little more about what's wrong before I see him.


It says that my radiocarpal joint & distal radioulnar joints are distended with contrast.
I have a full-thickness tear of the proximal radioulnar ligament on its palmar aspect with dorsal subluxation of the distal ulna.
Also a tear of the lunatoriquetral and/or pisiform attachment of the triangular fibrocartlidge. Scapholunate ligaments are intact with mild fraying on the palmar aspect.