Randy Bindra, MD, FRACS, Professor of Orthopaedic Surgery, Griffith University School of Medicine and Gold Coast Private Hospital Southport, QLD, Australia. Case Presentation: The patient was a 24-year-old right-handed student who sustained a fracture of his left wrist after a fall down a flight of stairs. After receiving treatment at another hospital, he presented to Dr. Bindra two weeks later with increasing median neuropathy. Radiography showed a volar pin plate applied to the teardrop fragment with no internal fixation of the radial column. The wrist had been stabilized with a spanning external fixator. CT imaging showed impact and depression of the distal radius articular surface with dorsal tilt and loss of articular congruity.