Author: Caroline Pupke, OMS-IV
Co Author #1: Joseph Edison DO CAQSM
Co Author #2: Edgar J, Dollar II DO
Co Author #3: David H. MacDonald DO FAOAO
Senior Editor: Carolyn Landsberg, MD
Editor: Adam Lewno, DO

Patient Presentation:
A 20-year-old male collegiate diver presented to the office with acute right wrist pain.

History:
A 20-year-old male collegiate diver presented to the office with right wrist pain. He reported that he injured his wrist at diving practice one day ago when he did not get his arms fully extended prior to entering the water during a dive. As a result, he entered without his wrists locked and immediately experienced swelling over the dorsal aspect of his right wrist. At the time of his office visit, he reported that his wrist pain and swelling had improved, however he was still having discomfort with wrist extension. Further questioning revealed that he had been having intermittent pain in his right wrist for the last few months without any specific injury.

Past medical history was notable for a history of a right thumb ulnar collateral ligament injury with three surgical repairs in the past

Physical Exam:
There was mild tenderness to palpation of the right wrist over both the dorsal and volar crease on the radial side only. The patient had mild tenderness to palpation in the anatomic snuffbox. there was no tenderness in the triangular fibrocartilage complex (TFCC) and no palpable clicks with ulnar and radial deviation. Range of motion testing was full in both wrists, without pain or crepitus at the wrist, carometacarpal, metacarpophalangeal, proximal interphalangeal, distal interphalangeal joints. Texture changes, Asymmetry, altered Range of motion, and Tenderness (TART) changes were observed over the radial aspect of the right wrist, including boddy edema of the soft tissue and tenderness to palpation on the dorsal aspect of the wrist.

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