9b - Answer: 13-year-old male presents with moderate right wrist pain
HISTORY:
This 13-year-old male presents with moderate right wrist pain, worse with bending hand back. History of injury to wrist, fracture four months ago.
(QUIZ ANSWER) NOT A FINDING IN THIS CASE:
Tearing of extensor tendon II.
Using the diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.
FINDINGS:
Microtrabecular contusion of the metaphysis of the ulna. The dorsal aspect of the physis slightly widened. Triangular fibrocartilage intact.
A nondisplaced fracture of the hamate hook. Microtrabecular contusion of the pisiform. Spotty osteoedema of the remaining carpal bones and bases of metacarpals.
Extensor tendons I-VI intact. Flexor tendons intact. Median nerve normal in caliber.
No acute muscle strain.
IMPRESSION:
Right Wrist: Nondisplaced hamate hook fracture.
Microtrabecular Salter-Harris I injury of distal ulna.
Scattered spotty osteoedema of the carpal bones consistent with overuse. Microtrabecular contusion of the pisiform.
Case Challenge: Wrist MRI Cases
Case Challenge
Browse other topics in...
Content reviewed: September 28, 2021