Michael D Wigton

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THE PATIENT A 54-year-old diabetic male presents to the emergency department for evaluation of 12 hours of worsening right hand and forearm pain after falling outside. The patient is in visible distress, with a temperature of 38.5 C and a heart rate of 100 bpm. There is a small dorsal hand wound with diffuse erythema, swelling, bullae, and extreme(More)
Kienböck disease (KD) is a progressive condition and difficult to manage. A number of treatment algorithms exist but there is no clear consensus as to which method produces the best outcome, particularly for Lichtman stage III disease. The majority of the current treatment options for KD emphasize lunate unloading and restoration of biology with bone graft.(More)
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