David Nelson , MD Private Practice, San Francisco Webmaster, eRadius Associate Editor, J Hand Surgery Director, San Francisco Bay Area Hand Club

(case submitted February 17, 2006)

The patient is a 57 year RHD old business woman who frequently travels the western US as a consultant and instructor for library software. She is fairly physically active but does no competitive athletics. (She just happens to be married to an important referring physician.) She was walking in the grocery store and fell on some chicken fat, injuring her left nondominant arm. Her husband ordered xrays which showed the following, and asked me to treat her.

Figures 1a and 1b

(1) What would your recommendation be?

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