Subacute Wrist Pain In A Hypercoagulable Crossfitter

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Subacute Wrist Pain In A Hypercoagulable Crossfitter - Page #3

Lab Studies: N/A Other Studies: Initial plain radiograph demonstrated ulnar shortening and ulnar deviation <a href="CaseStudyImages/CS1Subacutewristpain-208.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> , <a href="CaseStudyImages/CS2CS1Subacutewristp-208.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> one month after pain onset. MRI of the right wrist ten months later showed diffuse edema of the lunate consistent with avascular necrosis, volar soft tissue edema and a shortened ulna with normal carpal alignment <a href="CaseStudyImages/CS3CS2CS1Subacutewri-208.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> , <a href="CaseStudyImages/CS4CS3CS2CS1Subacute-208.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> , <a href="CaseStudyImages/CS5CS4CS3CS2CS1Subac-208.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a> . Repeat plain radiographs at three month follow up <a href="CaseStudyImages/CS6CS5CS4CS3CS2CS1Su-208.jpg" title="Case Photo #6" data-lity><b>Case Photo #6</b></a> , <a href="CaseStudyImages/CS7CS6CS5CS4CS3CS2CS-208.jpg" title="Case Photo #7" data-lity><b>Case Photo #7</b></a> showed sclerotic change and radiolucency in the central lunate consistent with lunate osteonecrosis, Lichtman stage IIIA. Consultations: Hand orthopedic surgeon at the Medical College of Virginia Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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