#MedicalCase

40 years old male, have been suffering from pain in wrist joint (Orthopedics and Traumatology)

Dr. Sheetal Kamble., BHMS

 

Medical Case Details:

Hello doctors,

One of my patient, 40 years old male, have been suffering from pain in wrist joint. MRI Lt wrist indicates -
1) Negative Ulnar Variance with osteophytic lipping and degenerative subarticular cystic changes along ulnar articular surface.
2) Intrasubstance PD fat sat hyperintense signal intensity involving foveal and radial attachment of triangular fibrocartilage with minimal perifocal soft tissue edema raises possibility of sprain.

This patient has been working out for many years. Pain in left wrist has been going on for years. He takes pain killer as required. Kindly suggest the further treatment plan.

 


    Discussions


    Dr. Anuj Gupta
    Orthopaedician And Traumatologist

    Could you please share X ray and MRI pictures?

    24.Jan, 08:34am

    Dr. Sheetal Kamble

    Hello Sir,
    X ray is not done. I don't have digital copy of MRI so it will be difficult to share here . I will try to get one and upload here.

    24.Jan, 04:19pm

    Dr. Anuj Gupta
    Orthopaedician And Traumatologist

    A true orthopaedic surgeon decide on films and not report.

    24.Jan, 04:36pm

    Dr. Jay Indravadan Patel
    Physiotherapist

    Hello,

    Advising for the physiotherapy would be right thing to do and observe for the next call from the patient after a week.

    Regards

    11.Feb, 04:50am

    Dr. K Shanmuganandan
    Rheumatologist

    She has strain with secondary oa

    12.Feb, 08:51pm

    Dr. Sheetal Kamble

    Thank you all for the responses

    @dr.anuj - unfortunately patient doesn't have access to digital copy of MRI , hence not possible to upload here.

    @dr.jay - patient has started physiotherapy, hope he start feeling better.

    @ dr. Shanmuganandan - what can be the possible treatment for secondary oa as per your view point?

    12.Feb, 09:13pm

    Dr. Sreerag B Prasad

    Seems like Osteo arthritis.
    NSAIDS(enteral adn topical) and movement restriction might help.
    If still not working, intralesional steroids maybe considered.
    What do you say?

    Regards :)

    01.Mar, 10:39am

    Dr. Vijay Kumar Kumawat

    Hi, Dr Sheetal, i think physiotherapy may be the right thing for patient.

    16.Jun, 06:14pm

    Dr. Aishwarya Ilavarasan

    Mud application
    acupuncture
    physiotherapy can work better in case of OA

    12.Aug, 07:04pm



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