Bilateral Wrist Pain In A Teenage Gymnast

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Bilateral Wrist Pain In A Teenage Gymnast - Page #3

Lab Studies: None Other Studies: X-ray bilateral wrists: Medial sloping of distal radial epiphysis with increased radial inclination. Volar tilt of the radial articular surface. Triangulation and volar displacement of the carpus. Dorsal subluxation of the ulna. Positive ulnar variance Case Photo #1 , Case Photo #2 . MRI bilateral wrists: Increased radial inclination and positive ulnar variance. Palmar inclination of the distal radial articular surface. Thickened palmar radiolunate ligament (Vicker's ligament) and a thickened elongated obliquely oriented palmar radiotriquetral ligament. Subtle bone marrow edema and sclerosis about the distal radial growth plate consistent with mild physeal stress injury Case Photo #3 Case Photo #4 Case Photo #5 Consultations: Hand Surgery Medical Genetics Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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