Comminuted fracture right 4th metacarpal
Fall from bike.
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- subtle oblique sclerotic line in the right 4th metacarpal mid-shaft
- carpal bones are normal
- visualized radius and ulnar bone are normal
- the other metacarpal and phylangeal bones are normal
- comminuted fracture of the right 4th metacarpal without extension into the articular surface
The finding was very subtle on frontal view which could be easily missed. This case highlights the importance of two views in patients with trauma.