Pitcher's Pain - Usual Presentation Of Unusual Diagnosis

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Pitcher's Pain - Usual Presentation Of Unusual Diagnosis - Page #3

Lab Studies: None Other Studies: 2 view X-rays of the right forearm demonstrated a smooth periosteal reaction along the ulnar and volar aspects of the mid to distal ulnar diaphysis. There was no lucent fracture line visualized or any cortical irregularities appreciated. <a href="CaseStudyImages/CS1-678.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <a href="CaseStudyImages/CS2CS1678jpg-678.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <br> <br>The initial report of the MRI of the right forearm without contrast revealed a smooth periosteal reaction with cortical thickening and extensive bone marrow edema in the ulnar diaphysis. This was compatible with a grade 4a stress fracture with intracortical signal but no discrete cortical fracture line. <br>After review of the MRI images with the radiologist, a discrete fracture line was visualized and findings were suggestive of a grade 4b stress fracture. <a href="CaseStudyImages/CS3CS2CS1678jpg678jp-678.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> <a href="CaseStudyImages/CS4CS3CS2CS1678jpg67-678.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> Consultations: None Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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