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 Case Photo #1 . After evaluation in clinic, radiographs were re-examined, and there was suspicion for a fracture at the base of the hamate Case Photo #2 , so a diagnostic ultrasound of the hand was performed. The ulnar artery Case Photo #3 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 Case Photo #4 . Evaluation of the hamate bone demonstrated a cortical irregularity at the base of the hamate hook with overlying hypoechoic area consistent with a hematoma Case Photo #5 . 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 Case Photo #6 . 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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