A 77-year-old female employed in clerical work fell from a standing height fracturing her left, non-dominant distal radius and ulna. The fracture was treated in a cast, but she continued to have problems with pain and deformity. She presented to our office 2 years after the injury complaining of pain and instability of the wrist leading to severe dysfunction.

Figure 1: This clinical radiograph demonstrates the severe radial deviation deformity present. This represents a post-traumatic club hand deformity. The extreme radial deviation of the wrist has led us to refer to this deformity as a golf-club hand.

Figure 2 A and B: Radiographs demonstrated synovial nonunion of the distal radius and ulna. The distal articular fragment of radius is very small. This is due, in part, to erosion from the synovial process.