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Review Question - QID 218093

Kienbock's Disease Techniques Vascularized bone grafts QID: 218093 (SBQ21H.69)
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QID 218093 (Type "218093" in App Search)
A 32-year-old chef presents with worsening dorsal wrist pain that is exacerbated while holding heavy objects at work. His radiographs appear normal with some mild cystic changes to the capitate. An MRI displays cystic changes primarily to the proximal pole of the capitate without subchondral collapse or fracture (Figure A). A trial of short arm casting, NSAIDs, occupational therapy, and activity modifications do not provide adequate relief. The pain has significantly limited their ability to perform duties at work. An updated MRI remains unchanged. Which of the following would be the most appropriate next step in management?
  • A
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  • A
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