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 Case Photo #1 , Case Photo #2 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 Case Photo #3 , Case Photo #4 , Case Photo #5 . Repeat plain radiographs at three month follow up Case Photo #6 , Case Photo #7 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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