Wrist Pain In A Collegiate Soccer Player - Page #1

Author: Brennan Boettcher, DO
Co Author #1: Jonathan Finnoff, DO
Senior Editor: Adam Lewno, DO
Editor: Margaret Gibson, MD, FAMSSM

Patient Presentation:
A collegiate soccer player presented with diffuse swelling and limited range of motion secondary to pain after a fall during game play.

He developed diffuse swelling and limited range of motion secondary to pain. He denied neurovascular symptoms. His pain was located over the triangular fibrocartilage complex (TFCC), first dorsal compartment at the anatomic snuffbox, as well as the dorsal wrist near the scaphoid. He noted bruising over the dorsal wrist as well. He had used ice to treat his pain, but not taken any medications.

Physical Exam:
He had full range of motion of his shoulder and elbow. Wrist range of motion was limited in all planes secondary to pain. Proximal muscle groups displayed full strength but distally his strength was limited, secondary to pain. Palpation revealed tenderness over the radial wrist, in the anatomic snuffbox, dorsally over the scaphoid and scapholunate ligament, as well as in the area of the triangular fibrocartilage complex (TFCC). Prominent soft tissue swelling was noted over the dorsal wrist, with a small amount of bruising. Upper extremity sensation and capillary refill were intact.

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