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NewYork-Presbyterian Hospital Psychiatry
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Case of the Month - July 2017

This 36 year old male presented to the ED complaining of pain in his wrist. He fell during a soccer game and then someone stepped on his wrist.

Question 1 : What’s wrong with these pictures?





View answer
Answer 1:

There is a perilunate dislocation (arrow below) Remember, the spilled teacup?








Question 2: What next?
View answer
Answer 2:

Ortho was consulted and reduced the dislocation under moderate sedation using traction and extension. They confirmed the reduction using fluoroscopy. The patient was discharged from the ED in a splint to follow up with ortho as an outpatient. See the lunate in normal position below on the post reduction film.

radiology-image-1



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