Wrist Pain in a Young Athlete

  • Median Neuropathy May Be Early Sign of Diabetic Neuropathy

    Median Neuropathy May Be Early Sign of Diabetic Neuropathy

    FIGURE 1. Standard films of the left wrist showed no osseous abnormality.

  • FIGURE 2. A T1-weighted MRI image showing capitate involvement two weeks after presentation.

  • FIGURE 3. A T2-weighted MRI image also displaying capitate involvement consistent with osteonecrosis.

  • FIGURE 4. A three-month follow-up MRI scan shows early resolution on T1 images.

  • FIGURE 5. A second MRI scan shows improvement on T2 images, with capitate showing similar signal to uninvolved wrist bones.

  • FIGURES 6A and 6B. At 10 months post initial presentation, plain films are consistent with normal radiographic anatomy.

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A teenager complains of pain in the left wrist, yet manifests no localized swelling and exhibits symmetric bilateral range of motion. Read the full Clinical Challenge.

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