Review Question - QID 217977

A 56-year-old male construction worker presents with insidious onset of right wrist pain that progressed over the past year. He denies any specific wrist injuries and has not sought previous care. He states it doesn’t limit his activities of daily living, however, does restrict his ability to deadlift and lift heavy at the gym. His presenting images are shown in Figure A. Which of the following most likely led to this patient’s pathology?