Review Question - QID 212658

A 69-year-old woman comes to the emergency department for pain in her right wrist following a fall. She was walking out from the grocery store when she tripped on something and fell forward, landing on her right hand as she tried to brace her fall. She denies bleeding, paresthesia, or loss of sensation, but endorses a 7/10, sharp, stabbing pain in her right wrist. Her past medical history is significant for obesity, hypertension controlled with lisinopril, and myositis managed with glucocorticoids. She used to smoke 1-2 cigarettes over the weekend when she was in her thirties. The patient reports that she weight lifts 3 times a week. A physical examination demonstrates a swollen wrist and tenderness upon palpation along the right wrist and distal forearm. A radiograph of the right wrist is obtained and is shown in Figure A. Which of the following is a risk factor for her condition?