Case Report: Unexpected DRUJ Mass

Case Report: Unexpected DRUJ Mass

In most areas of medicine, and certainly orthopedics, common problems present commonly.  A relatively finite number of diagnoses make up the majority of what we see.  Through experience, we develop heuristics, or “mental shortcuts” which through pattern recognition, allow us to relatively efficiently arrive at a diagnosis, or set of potential diagnoses.  One of the challenges in hand surgery, and all of medicine, is when a patient falls outside of that for which we have a heuristic.  Such was the case of the following patient. The patient is a 42 year old, right hand dominant female who presented with 4 years of vaguely localized pain over the distal 25% of her forearm.  She was unable to clearly sense if it was more volar or dorsal.  Described a motor vehicle collision a couple months before the onset of her symptoms which she think may be related, but no immediate pain following the accident.  The last 2 years have been particularly bothersome and...
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