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Case of adolescent wrist pain with polyostotic lesions; leaves open differential diagnosis and management in scoliosis patients.
Presentation of CaseA 15-year-old girl was admitted to the hospital because of pain in the right wrist and multiple radiolucent bony defects.The patient was in apparent good health except for scoliosis, for which she was seen in periodic orthopedic follow-up examinations. Three days before admission, on a routine visit to her orthopedist, she mentioned pain in the right wrist of approximately one year's duration, with worsening on vigorous use of the right upper extremity. Physical examination revealed no swelling or tenderness of the wrist. X-ray films of the right wrist (Fig. 1) showed a well-circumscribed osteolytic lesion, 5 . . .
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Cabot et al. (1990) studied this question.
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