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Review Question - QID 219189

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QID 219189 (Type "219189" in App Search)
A 34-year-old female presents to the emergency department after a motor vehicle collision. She is complaining primarily of ankle pain. Radiographs demonstrate a Hawkins II talar neck fracture. Appropriate initial management is undertaken in the trauma bay and she is consented for surgical fixation. Which of the following factors is correlated with an increased risk for osteonecrosis in this setting?