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so um this is the wrist of a 20 year old female who presents with dorsal wrist pain so i think the important thing to recognize uh is is pay close attention to the history her main complaint is an inability to load the wrists in extension such as doing yoga exercises or gyms such as planking or doing a push-up or even climbing out of a chair or a bath loading the wrist and extension is very painful she had a similar experience on the right side successfully treated with a cortisone injection so letamp;#39;s just examine her we realize that thereamp;#39;s no nothing to observe on on looking thereamp;#39;s no swelling and thereamp;#39;s no deformity on palpation itamp;#39;s important to flex the wrist just come slightly from the side itamp;#39;s important to flex the wrist and sometimes what you will see when you flex the wrist is a slight swelling in keeping with an occult or small ganglion but i donamp;#39;t see one here but when you flex the wrist slightly and you palpate just
