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A 24-year-old racquetball player presents after accidentally striking his racket against the wall during a match three months ago. He is tender to palpation over the hypothenar mass, and his pain is aggrevated by grasping. A radiograph and CT scan of his wrist are shown in Figures A and B. Which of the following treatment methods has been definitively shown in the literature to have a favorable outcome, and a high chance to return to pre-injury activities in patients with this injury?
Activity restriction and continued monitoring
Open reduction and internal fixation
Casting for 6 weeks, followed by physical therapy
Corticosteroid injection and immediate return to play
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A professional baseball player develops acute hand pain after fouling off a pitch. He is tender over the hypothenar eminence and has paresthesias in the ring and small fingers. Which radiographic view is most likely to reveal the pathology?
AP wrist in ulnar deviation
A 44-year-old man presents with ulnar-sided right wrist pain and mild constant tingling in the fourth and fifth digits after injuring his wrist while playing golf. Although pain and function have improved with conservative treatment 6 months following the injury, he still reports difficulty with his golf game. Which of the following should initially be obtained in this patient to aide in the diagnosis?
Bone scan of the wrist and hand
EMG study of the affected extremity
Carpal tunnel view radiograph
CT scan of the distal forearm and wrist
Contrast enhanced magnetic resonance angiogram
A 24-year-old professional baseball outfielder reports persistent pain in the hypothenar region when batting for the past year. His CT scan is shown in Figure A. What is the recommended treatment?
hook of hamate excision
carpal tunnel release
decompression of Guyon's canal
open reduction and internal fixation