Prof. Dr. med. Ueli Beuchler Inselspital, Universitatsspital, Bern, Switzerland

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Figure 1a and 1b Symptomatic left wrist

Figure 2a and 2b Normal right wrist for comparison

Figure 3 axial CT scan

(1) What are your diagnoses?

(2) Can you help the patient with non-operative means?

(3) In case surgery was indicated, do you need additional information? What do you need?

Answers:

Suspecting a rotatory component of the malunion, a further CT scan was obtained with both forearms held steadily, while images were acquired through the proximal and distal thrirds of the forearms. Figure 6 shows the respective contours of the radius on both sides.

Fig 6
Axial scans of both sides

(4) Does the malunion comprise a rotatory component? Direction? How much?

(5) Must this be addressed?

(6) How would you now plan the corrective osteotomy?

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