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Image challenge
Painful swelling of the hand
  1. Jiri Moekotte,
  2. Thomas C Schuurs
  1. Department of Emergency Medicine, Amsterdam UMC Locatie VUmc, Amsterdam, The Netherlands
  1. Correspondence to Jiri Moekotte, Emergency Medicine, Amsterdam UMC Locatie VUmc, Amsterdam 1081 HV, The Netherlands; jirimoekotte{at}hotmail.com

https://doi.org/10.1136/emermed-2020-210283

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    Clinical introduction

    A 26-year-old patient with no prior medical history presented to the emergency department with pain in his right hand after getting into a fight with another person. Figure 1 shows the hand. The function was impaired by pain. Vascularisation of the hand and fingers was normal and there was no neurological deficit. An X-ray of the hand was taken (figure 2).

    Figure 1

    Patient’s right hand.

    Figure 2

    Posteroanterior X-ray of the right hand.

    Question

    What is the diagnosis?

    1. Triquetral …

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    Footnotes

    • Contributors JM wrote the manuscript for the image challenge and gathered the clinical and radiographic images. TS reviewed the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Provenance and peer review Not commissioned; internally peer reviewed.