Intended for healthcare professionals

Endgames Spot Diagnosis

A wrist injury

BMJ 2021; 372 doi: (Published 05 February 2021) Cite this as: BMJ 2021;372:n101
  1. Kashif Ahmad, specialty registrar in trauma and orthopaedics1,
  2. Girish Vashista, consultant in trauma and orthopaedics2
  1. 1Liverpool University Hospitals NHS Foundation Trust, UK
  2. 2Doncaster Royal Infirmary, UK
  1. Correspondence to: K Ahmad K.Ahmad{at}

A man in his 20s presented with deformity and severe pain in his left shoulder and wrist after a mid-air collision with a motocross bike. The patient’s torso had collided with another rider’s bike, causing him to land on his left upper chest and arm. After Advanced Trauma Life Support (ATLS) assessment the patient was found to be stable and resuscitation was not needed. Two isolated injuries were identified: a closed displaced fracture of the left clavicle and a deformed left wrist with no distal neurovascular compromise. Orthogonal radiography (anteroposterior and lateral views) of the left wrist was performed (figs 1 and 2).

Fig 1

Anteroposterior radiograph of left wrist

Fig 2

Lateral radiograph of left wrist

The patient was …

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