Presents 3 months after a twisting injury preventing a bike from falling.
.Pain after splinting by a doc in Mumbai. one week after injury. clinically gross limitations of all movement. .scaphoid tenderness. Watsons test not possible due to pain.
Xray lt wrist shows ? absent proximal pole of scaphoid.
on top of all this patient blames the doc who splinted him and told that nothing can be done and to come back when it becomes painful.
Ulnar deviated Xray reveals the mystery. Watch the dead vertical scaphoid
Pt had a SL dissociation with a distal radial fracture and a bony avulsion of the ligament. explained the option of scope arthrolysis and scapholunate reduction and repair/ recon of SL. Pt wants surgery here and physio in Mumbai so asked him to go to mumbai surgeon as post op physio is important and as it is his symptoms are vague( no pain) and blames doc for his predicament. One can only treat patient with symptoms and who wants to improvement. So stuck to identifying the problem and suggesting solutions for him to take a call
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