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The wrist that was not straight
  1. Adrian Spiteri
  1. Correspondence to Dr Adrian Spiteri, Emergency Department, St George's University Hospitals NHS Foundation Trust, Blackshaw Road, London SW17 0QT, UK; spiteri.adrian{at}gmail.com

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Clinical introduction

A 10-year-old girl presented to the emergency department after her younger brother jumped and sat on her left forearm. She had moderate pain over her left wrist.

On examination, the wrist looked deformed with volar shift of the hand relative to the long axis of the forearm and marked prominence of the ulna dorsally (figure 1).

Figure 1

The lateral view of the left forearm shows marked dinner-fork deformity of wrist with volar shift of hand. The dorsal view is unremarkable apart from a rounded wrist area.

The wrist was minimally swollen with mild tenderness over …

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