Case 22

19 years old, male, lathe leveler
Hit the wall with palm 1.5 years ago
Right wrist pain
No improvement with splint and NSAID

Right hand dominant
Wrist flexion 80°, extension 70°
Ulnar deviation 25°, radial deviation 15°
Supination 80°, pronation 90°

Piano key sign positive
Ulnar head prominent in the dorsal aspect
Painful ulnar grind test

Visual analogue scale: 4
Quick DASH score: 31.8
Grip strength R/L: 18kg/32kg
Pinch R/L: 3.4kg/4kg

IMG 1

IMG 1

IMG 2

IMG 2

IMG 3

IMG 3