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HPI
A 21-year-old male, a recreational soccer player, sustained a fall onto an outstretched left hand 6 weeks prior and was diagnosed with a wrist sprain at an outside emergency department. The patient failed to improve with a removable wrist splint and was referred for orthopedic evaluation. He denies any numbness or tingling of the hand. He is right-hand-dominant.
PMH
None
PE
A focused examination of the left wrist demonstrates moderate swelling over the dorsal and volar aspects of the wrist. There is no ecchymosis present. Range of motion is limited to 40 degrees of wrist extension and 50 degrees of wrist flexion due to pain. There is tenderness to palpation over the anatomic snuffbox. Sensation is otherwise intact to light touch in the median, ulnar, and radial nerve distributions. Motor function is intact in the anterior interosseous nerve, posterior interosseous nerve, and ulnar nerve.
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Open reduction and internal fixation of scaphoid fracture (dorsal approach)