Imaging Case of the Week 524 Answer

The forearm x-ray shows lunate dislocation.

A dedicated view of the wrist is needed to assess associated wrist injuries.

The image request form should contain appropriate clinical information for the specialist to concentrate on the area of interest!

Further reading on lunate & perilunate dislocation:  https://www.orthobullets.com/hand/6045/lunate-dislocation-perilunate-dissociation