Skiing injury leads to ER visit – Let’s Diagnose

A 23-year-old man presented to the emergency room after a recent fall onto an outstretched hand while skiing. He was experiencing wrist pain, joint tenderness, and decreased range of motion. On examination, anatomic snuff box tenderness and painful wrist pronation were elicited.

What’s the diagnosis?

  1. Wrist sprain (scapholunate tear)
  2. Lunate dislocation (perilunate dislocation)
  3. Scaphoid fracture
  4. Ulnar collateral ligament of thumb injury

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