Endgames Spot Diagnosis

A girl with left wrist deformity

BMJ 2016; 355 doi: https://doi.org/10.1136/bmj.i4925 (Published 06 October 2016) Cite this as: BMJ 2016;355:i4925
  1. Yong-Hai Zhou, consultant paediatrician1,
  2. Ming-Hua Zheng, consultant hepatologist2
  1. 1Department of Pediatrics, Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
  2. 2Department of Hepatology, Liver Research Center, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China
  1. Correspondence to: M-H Zheng zhengmh{at}wmu.edu.cn

A 16 year old girl presented to the orthopaedic clinic with a deformed left wrist from birth. The girl had progressively increasing pain in the left wrist, and dorsiflexion was limited. On examination, she has a bayonet deformity of the left wrist, which leads to loss of grip strength, decreased extension, and supination. There were no other external congenital deformities. Anteroposterior and lateral radiographs of the left …

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