An embarrassing question that I probably should have asked 15 years ago, but
here goes:
You know how you get patients with wrist injuries with marked swelling and
tenderness over the distal ulna (not the styloid, TFCC or ligaments, but
about the last inch and a half of ulna apart from the styloid). What's
actually going on there? No fracture (and if they present late, no
periosteal elevation, so definitely no fracture; nothing that attaches there
as far as I can see. It does seem pretty painful and doesn't get better all
that quickly. Anyone got any thoughts (indeed is this something really
obvious that everyone else knows about)? I've always muttered something
about periosteal stripping to them (which is almost certainly a lie given
the lack of periosteal elevation), advised topical NSAIDs and hoped they'd
be sufficiently unimpressed to present to someone else when it failed to get
better, but is there anything that works?
Matt Dunn
Warwick
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