Conversation: The conversation between human and AI assistant.
[|Human|] My daughter broke her left wrist four months ago playing soccer. She had a distal radius fracture with volar displacement. Four months later she has pain at the base of wrist and arm swelling purple discoloration and rwcently her thumb pops in and out of socket and a strange painful bump has appeared on her wrist on her pinky side she can move the wrist but much pain still exists
[|AI|]  Hi, If I was your treating doctor for this condition, I would have come up with the following possibilities.  1. The first possibility is improper union of the bone as there was a fracture with displacement. This can be evaluated by an X-ray of wrist joint. If it is so then a surgical intervention would be necessary.  2. The second possibility is Tendinitis which again can be evaluated physically with Finkelstein test. If this is the condition then I would suggest making it immobilized with a crêpe bandage and splints to give it sufficient amount of rest. It can be treated effectively with medication.  3. The third possibility is the complication of fractures namely osteomyelitis which is a serious problem. Usually this is accompanied by fever.  This can be assessed by X-ray which will relieve the damage to the bone. An MRI is more precise as it gives of bones and soft tissues. I suggest you to consult an Orthopedic at the earliest and get an MRI done to rule out serious conditions like Osteomyelitis and million of bones.  Hope I have answered your query. Let me know if I can assist you further.