The patient is a 36-year-old man who presents with wrist pain after “hitting it on something.” Further history reveals that he punched a wall in a fit of anger and felt sharp pain immediately.  He has no past medical history and takes no medications.

View the images taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

36-year-old man with wrist pain after a traumatic impact
A 36-Year-Old Man with Wrist Pain After a Traumatic Impact