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Fracture phalanx

Case contributed by Mostafa Elfeky
Diagnosis certain

Presentation

Recent direct trauma on the right hand

Patient Data

Age: 30 years
Gender: Male
x-ray

AP view: irregular thin dense line is noted at the neck of proximal phalanx of the 4th finger with apparently normal alignment of the phalanx.

Lateral and oblique views: dorsally displaced fracture of the neck of proximal phalanx of the 4th finger.

Case Discussion

This case clearly shows a fracture. The important note is that any suspected fracture must be checked in at least 2 views, as one view could show adequate alignment and hardly identified fracture line.

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