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Injuries and Rehab Tell us where it hurts! Do a quick search before asking about your shoulder injury to make sure your question hasn't already been answered (about 50 times), and read the sticky post first.

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Old 04-17-2009, 02:32 PM   #1 (permalink)
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Default hand/wrist pain (for a friend)

This is for a colleague so the details are less than optimum.

History: He had a fall about 2 months ago and partly landed on left hand. He is right handed.

Current: Pain on palpation on palmar side of hand in the area of pisiform/hamate/triquetrum.
Major pain in same area if wrist is flexed and especially if pinky finger flexion is resisted. Some if 4th digit flexion is resisted.
Light pain in area with just normal unresisted wrist flexion and extension. No tingling or numbness noted. Gripping to make a tight fist (or grip a golf club) he can "feel it" but not the intense pain.

His questions are along the lines of:
Is doing nothing and waiting causing any long-term harm?
What if it was a fracture of the wrist - two months out now would there be any course of treatment other than doing nothing?

I told him to get seen but also that I'd ask here.
Thanks.
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Old 04-21-2009, 12:31 PM   #2 (permalink)
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The only way a fracture would be harmed by not being seen is if it was displaced (which it doesn't sound) or if it is not healing.

Sounds like it could be contractile tissue ... flexor digitorum longus or brevis most likely. Any tenderness up in his forearm on the ulnar/palmar side?
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Old 04-21-2009, 02:08 PM   #3 (permalink)
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I'll ask.
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