Ulnar-sided Hand Pain In A Baseball Player

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Ulnar-sided Hand Pain In A Baseball Player - Page #3

Lab Studies: No laboratory evaluations were obtained Other Studies: Three-view radiographs of the left hand and wrist were obtained prior to the clinic visit and reported as negative for acute fracture <a href="CaseStudyImages/CS1UlnarsidedHandPai-1182.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> . After evaluation in clinic, radiographs were re-examined, and there was suspicion for a fracture at the base of the hamate <a href="CaseStudyImages/CS2CS1UlnarsidedHand-1182.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> , so a diagnostic ultrasound of the hand was performed. The ulnar artery <a href="CaseStudyImages/CS3CS2CS1UlnarsidedH-1182.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> was found to be widely patent without aneurysm, and the ulnar nerve and its deep branch had normal fascicular architecture without swelling or other signs of injury <a href="CaseStudyImages/CS4CS3CS2CS1Ulnarsid-1182.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> . Evaluation of the hamate bone demonstrated a cortical irregularity at the base of the hamate hook with overlying hypoechoic area consistent with a hematoma <a href="CaseStudyImages/CS5CS4CS3CS2CS1Ulnar-1182.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a> . Subsequent preoperative computed tomography confirmed a transverse fracture across the base of the hook of hamate with 1-2 mm of distraction and faint callus formation <a href="CaseStudyImages/CS6CS5CS4CS3CS2CS1Ul-1182.jpg" title="Case Photo #6" data-lity><b>Case Photo #6</b></a> . Consultations: Orthopedic Hand Surgery Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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