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A young adult manual worker reports central dorsal wrist pain with reduced grip strength, and imaging shows sclerosis and collapse of the lunate. This MOST suggests:

• 1 Carpal tunnel syndrome producing nocturnal numbness in the median distribution
• 2 A ganglion cyst producing a visible swelling on the dorsum of the wrist joint
• 3 Osteonecrosis of the lunate ✓ 정답
• 4 Rheumatoid arthritis producing symmetric inflammatory changes in both wrists

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