26th August 2020

A 69-year-old woman presents to you, her GP

A 69-year-old woman presents to you, her GP. She fell whilst out shopping 4 months ago and sustained a fracture to the distal radius in her right wrist. She was given the all clear in the fracture clinic by the registrar 6 weeks ago but her wrist is still painful. Her past medical history includes osteoporosis, hypertension and diabetes mellitus type 2. She has been taking ibuprofen and paracetamol to manage the pain. Her drug history also includes amlodipine, metformin and calcium supplements. On examination, she is particularly tender over the base of her thumb and adduction of the thumb is limited. You refer her for another x-ray suspecting possible malunion of the fracture or osteoarthritis in the wrist. Her current x-ray is below:

Image courtesy of Wiki Commons

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.