If that was from punching her why would just one knuckle be swollen and why would it be swollen so many days later? Unless it was broken?
Yes, MCK16. If the photo is genuine, IMO, it means he likely broke that knuckle big time--from a massive punch AGAINST SOMETHING HARD PRESUMABLY BONE.
I can tell you from someone who broke his knuckles a few times, they sure swell up. This is why you will see martial artists and boxers with enlarged knuckles. When they heal, they are larger than before and allow for greater punching power subsequently.
E.g. check out the knuckles of Bruce Lee in this pic:
http://i37.photobucket.com/albums/e71/Heavy-DGSX/bruce_lee.jpg
See, e.g. even the pinky knuckle of his left hand.
So I thank you sleuthers, it implies Joran delivered a massive blow with his left hand to hard bone presumably of Stephany's face.
Again does anyone know if he is right or left handed?
Also again we can't know if this is before or after the blow that made her go unconscious? Or if that is the blow in question?
A single massive strike, as previously noted, especially if she were held up against a wall would do it.
Is it possible he is right handed and was holding her with his right when she defended herself and instead of giving into his robbery demands, struck or attempted to strike at this monster, and he then went all out, not with his elbow but with his free hand--the left one?
Finally I should note that I have broken my knuckles numerous times, and they didn't quite look that bad. And this is important again. If she were held against the wall as I previously described, not only would this have prevented her head from moving back through space (and absorbing more of hte blow) and thus it magnified the skull and brain damage--but it would also magnify the damage to his own knuckle from Newton's third law.
It appears more and more that she was held against a hard wall when a massive blow to the face was delivered, and it may have been from his left hand and not the elbow. IMO