THE PATIENT 20-year-old student athlete gradually developed ular-sided wrist pain. The pain was not associated with specific injury and she was otherwise well. There ere no mechanical symptoms of catching or clunking. he pain was aggravated by athletic activities and the atient was avoiding competition. On examination, the rist appeared normal. The range of motion of the wrist as full. Diffuse tenderness was present over the distal adioulnar joint and the head of the ulna. The ulnocarpal tress test, performed by applying an axial load during assive pronation–supination with the wrist in ulnar eviation, did not increase the pain. Application of a hear force between the lunate and triquetrum did not eproduce her pain. Wrist radiographs were normal. A lan including rest, anti-inflammatory medication, and bservation was suggested. After reviewing informaion available on the Internet, the patient was concerned hat this approach would delay diagnosis, whereas a agnetic resonance imaging (MRI) scan would direct he treatment and hasten her return to volleyball.