Unrelenting Wrist Pain After Mastering A Backbend

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Unrelenting Wrist Pain After Mastering A Backbend - Page #1

Author: Cara Conrad, DO Senior Editor: Drew Duerson, MD Editor: Andrew Collyer, DO Patient Presentation: A 10-year-old female gymnast presented to her pediatrician's office after 2-3 months of left wrist pain. History: Pain initially started after doing a backbend which was new to her at the time. She described the pain as aching, with stabbing and shooting pain over the left distal lateral wrist. The pain continued despite avoiding backbends and other weight bearing activities on her left wrist for the last several weeks. She was placed in a splint and a referral to sports medicine was placed. At the sports medicine clinic 2 weeks later, she was placed in a cast for 3 weeks. After removal of the cast, she continued to have restrictions regarding gymnastics and acrobatics for another week. After returning to gymnastics and acrobatics she continued to have wrist pain with weight bearing activity. Past medical history was significant for transient synovitis that was treated conservatively. Physical Exam: No swelling or ecchymosis noted. Pain with palpation over the left distal radius, distal ulna, distal radioulnar joint initially. On re-examination there is tenderness over the scaphoid and lunate as well. Decreased active range of motion of left wrist in flexion, extension, ulnar and radial deviation, supination and pronation. Strength 5/5. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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