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Do you see a cause of his ulnar wrist pain in these images?
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I think there is real but inhomogeneous edema of the pronator quadratus, without atrophy. PQ edema can be related to anterior interosseous nerve syndrome, but has been reported as a common incidental finding. Would you mention the possibility of anterior interosseous nerve syndrome in this case? Just suggest clinical correlation? Recommend forearm MRI? Ignore it?
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There is also moderate distention of the inferior pisotriquetral recess, which can contribute to ulnar pain.
Did you notice the ECU dislocation<radsource.us/extensor-carpi-ulnaris-subsheath-injury/>?
The wrist is supinated, which can provoke subluxation…but this is completely dislocated, indicating ECU subsheath tear.
Hilary
PQ-edema.pdf
