Collegiate Diver Makes A Splash With Wrist Pain

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Collegiate Diver Makes A Splash With Wrist Pain - Page #3

Other Studies: Given the patient's tenderness over the bony structures and the mechanism of injury, right wrist and thumb x-rays with scaphoid views were ordered. Case Photo #1 The x-rays were reviewed, and the lateral thumb view showed a nondisplaced scaphoid fracture. Case Photo #2 A CT scan of the right wrist was ordered and read as negative, but two slices in the coronal and axial planes showed what could be a fracture. After discussion with the hand surgeon, an MRI was ordered to determine acuteness of the fracture. The MRI showed imaging features compatible with a fracture of the proximal scaphoid with thick sclerosis in the bone at the fracture site, suggesting an acute on chronic fracture. Case Photo #3 Case Photo #4 Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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