To cite: Davidson DJ, Anakwe RE. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014205189 DESCRIPTION Kienböck’s disease (KD) is characterised by avascular necrosis of the lunate bone and is of unknown aetiology. KD is thought to result from a combination of vascular, anatomic and traumatic insults resulting in interruption of the blood supply to the lunate and ...

A 30-year-old man with a complete L2 level of spinal cord injury (SCI) was seen due to right wrist pain. Medical history revealed a scaphoid fracture due to fall 6 months ago. Although surgical fixation was recommended in that period, the patient had refused surgery and static hand-wrist splint was recommended. The patient also stated that the pain worsened progressively over months. He could n...

After discovering two families with handicapped children exhibiting the "Uner Tan syndrome," the author discovered a man exhibiting only wrist-walking with no primitive mental abilities including language. According to his mother, he had an infectious disease with high fever as a three months old baby; as a result, the left leg had been paralyzed after a penicilline injection. This paralysis mo...

Shortened dipole antennas based on rectangular dielectric blocks play an important role in ultrahigh field magnetic resonance imaging (UHF-MRI) radio frequency (RF) coil design. However, the generally assumed direct contact with subject is difficult to maintain typical vivo settings. We have previously observed that certain dielectrically shortened can produce a substantially altered transmit d...

BACKGROUND Conservative treatment remains the standard of care for treating mild to moderate carpal tunnel syndrome despite a small number of well-controlled studies and limited objective evidence to support current treatment options. There is an increasing interest in the usefulness of wrist magnetic resonance imaging could play in predicting who will benefit for various treatments. METHOD A...

INTRODUCTION MRI sensitively depicts erosions, bone marrow edema (BME) and synovitis in rheumatoid arthritis (RA). Recently developed European League Against Rheumatism (EULAR) recommendations stated that MRI is valuable to improve the certainty of a considered diagnosis and to detect structural damage at an early time point. However, these recommendations were mainly based on the data of patie...

Stress fracture of the capitate reports A 42-year-old male physical exercise teacher presented to his general practitioner (GP) with a 4-month history of bilateral wrist pain. He was unable to recall any specific episode of trauma, but the nature of his work as a gymnastics teacher required repeated dorsiflexion of both wrists. The pain was enough to keep him awake at night and he had developed...

conclusions a clinical examination combined with a plain radiograph should be considered to improve the diagnostic precision for patients presenting with scaphoid fractures in an emergency department. in this way, both overtreatment and undertreatment of patients can be avoided. results scaphoid tubercle tenderness had a sensitivity of 95.23% and a specificity of 74.07% in the diagnosis of scap...

INTRODUCTION Primary musculoskeletal extranodal non-Hodgkin lymphoma is a rare presentation and account for 5% of all primary extranodal non-Hodgkin lymphomas. Treatment uses a combination of chemotherapy and radiotherapy with good prognosis in unifocal manifestation. We report an unusual case of primary musculoskeletal extranodal lymphoma presenting as a soft tissue swelling around the wrist. ...

Although it is hypothesized that there is abnormal motor inhibition in patients with dystonia, the question remains as to whether the mechanism related to motor inhibition is specifically impaired. The objective of the present study was to clarify the possible abnormalities of the mechanisms underlying voluntary muscle relaxation during motor preparation and execution in patients with writer's ...