Figure 1_1213 Clinical Challenge
FIGURE 1. Standard films of the left wrist showed no osseous abnormality.
Figure 2_1213 Clinical Challenge
FIGURE 2. A T1-weighted MRI image showing capitate involvement two weeks after presentation.
Figure 3_1213 Clinical Challenge
FIGURE 3. A T2-weighted MRI image also displaying capitate involvement consistent with osteonecrosis.
Figure 4_1213 Clinical Challenge
FIGURE 4. A three-month follow-up MRI scan shows early resolution on T1 images.
Figure 5_1213 Clinical Challenge
FIGURE 5. A second MRI scan shows improvement on T2 images, with capitate showing similar signal to uninvolved wrist bones.
Figure 6_1213 Clinical Feature
FIGURES 6A and 6B. At 10 months post initial presentation, plain films are consistent with normal radiographic anatomy.
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.