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3b - Answer: 26-year-old female presents with right wrist pain

Pomeranz, Stephen
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
Includes DICOM files

HISTORY: 

This 26-year-old female presents with right wrist pain.

(QUIZ ANSWER) LOCATION OF ACCESSORY BONE IN THIS CASE: 

Os hamulare.

Using the diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.

FINDINGS:

Swelling of the dorsal capsule of the wrist. 

Flexor and extensor tendons are unremarkable. Visualized muscles are unremarkable without atrophy, strain, or edema. 

Distal forearm, carpal, and proximal metacarpal bones are unremarkable without fracture, edema, or marrow infiltrating process. An os hamulare (accessory bone) seen. 

Remaining visualized soft tissues unremarkable.

Triangular fibrocartilage complex (TFCC), scapholunate ligament, and lunatotriquetral ligament are intact. 

CONCLUSION: 

1. Swelling of the dorsal capsule of the wrist. 

2. An os hamulare (accessory bone) seen.

3. No changes in comparison to prior examination.

LESSON 2, TOPIC 9

Case Challenge: Wrist MRI Cases

Case Challenge

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Content reviewed: September 28, 2021

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