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A 35-year-old professional football player complains of severe wrist pain after making a tackle. He reports paresthesias in his thumb and index finger. AP and lateral radiographs of the wrist are shown in figures A and B respectively. What is the most appropriate next step in management?
short arm thumb spica cast
long arm thumb spica cast
urgent closed reduction and splinting
MR arthrogram of the wrist to assess ligamentous injuries
bone scan to assess vascularity
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