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.
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.
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.
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Content reviewed: September 28, 2021