مريضه بها الم في الرسغ للمنظار / جراح تجميل وتقويم 24/11/2008

[fun6azio]

مريضه تعرضت لكسر قبل 3 سنوات في عظمه الراديس يمين (شابه ) ومافيها شى ثاني

والأن تشكوا من الم مزمن في الرسغ الأيمن
ماهي مشكلتها من الأشعه ؟؟؟؟

للطلبه واللي حاب يجرب

جراح تجميل وتقويم / عماني

[سكايب عطر]

hello

i think the space between the radius and the carpal bones is reduced

i mean tht's wht i noticed from the the X-ray ...

there is something else >>> the ulna ??? is it in correct articulation with carpal bones??

anyway i might be wrong

[sandstorm]

I can't recognize where the old fracture !!!!

أعتقد يمكن يكون للكسر علاقة بالالم من حيث أن الكسر القديم سبب dislocation to ulnar-radial articulation that cause abnormal movement in wrest joint

[destiney]

osteoarthritic changes????

[بدوي من واشنطن]

according to my experience she needs physical therapy only

the small bone touch tissues which make pain

مجرد تخمين .
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[fun6azio]

please look at the distal radioulnar joint ...
whart do u see

we did arthroscopy for this girl ... she will need probably a tendon harvesting ..may be plantaris and then to form a new radioulnar joint ....

so if u notice the distall radio ulnar joint u will see increased space on the rt compared to the lt ...

which is causing her pain specially on pronation and supination ... and afcourse these movements are the basics of hand hand function..so repair is a must ..



good try though

one more thing

u should try to treat the wounds in the suturing subject ...that should be fun for learners like u

take care

[تكنولوجيا]

thank you very much
we need more practice and image to be professional to identify the abnormalities