January Radiology Case of the Month

30-Year-Old Male with Ulnar Sided Wrist Pain After Golf Swing

Clinical

  • Ulnar sided wrist pain and tenderness
  • Mild limitation of range of motion with ulnar deviation and pronation

Sonogram: Transverse plane



What is the salient abnormality?    
  1. Subperiosteal fluid collection
  2. Fluid collection adjacent to the distal ulna
  3. Hyperechoic mass adherent to interosseous membrane
  4. Perforation of the interosseous membrane

Sonogram: Longitudinal Plane Medial Wrist

Cine Sonogram: Longitudinal Plane


What is the salient abnormality?

  1. Subperiosteal fluid collection
  2. Heterogeneous appearance in region of triangular fibrocartilage
  3. Bone fragmentation
  4. Chondrocalcinosis

What is your final diagnosis?

  1. Avulsion of ulnar styloid process
  2. Scaphoid fracture/dislocation
  3. Suspected rupture of TFCC
  4. Ulnar impaction syndrome

Answers, Findings and Discussion

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