Wrist Pain in a Young Athlete - Clinical Advisor

Wrist Pain in a Young Athlete

Slideshow

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

    Figure 1_1213 Clinical Challenge

    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 2_1213 Clinical Challenge

    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 3_1213 Clinical Challenge

    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 4_1213 Clinical Challenge

    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.

    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.

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

    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.

Next hm-slideshow in Slides