32F 2mos wrist pain with history of trauma, MRI, Please help

She has negative ulnar variance and an absent dorsal ulnar groove with medial dislocation of the ECU, which is otherwise normalThe remainder of the wrist MRI is normal.

Our reports are legal documents and I have to assume this is a personal injury case
Is this actually pathologic with negative ulnar variance?
Is the ECU subsheath deficient / chronically torn as a consequence of the anatomic variant?
In the absence of local edema or tenosynovitis, I would report this as chronic, unlikely related to subacute trauma history.

Thanks.

HIlary

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