Working Diagnosis:
Multiple scaphoid bone cysts due to repetitive micro-fractures
Outcome:
The patient had limited flexion and extension of the wrist at his four week post-operative visit. Therefore, he initiated occupational therapy three times per week for six weeks. At his twelve week follow-up visit, he had full, painless range of motion of the wrist. At 12 months, the patient remained free of pain and was able to continue his desired level of activity.
Author's Comments:
None
Editor's Comments:
This case illustrates the need to call on surgical intervention when a patient fails non-operative management. In addition, the initial xrays demonstrated the cystic scaphoid, and MRI and CT did not further change this impression. Clinical course justified taking this patient to surgery, regardless of advanced imaging.
References:
None
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