Wrist Pain in Patient with Fracture History
Median Neuropathy May Be Early Sign of Diabetic Neuropathy
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 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 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.
A teenager complains of pain in the left wrist, yet manifests no localized swelling and exhibits symmetric bilateral range of motion. Read the full case.
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