Comminuted fracture right 4th metacarpal

Case contributed by Dr Subash Thapa


Fall from bike.

Patient Data

Age: 30 years
Gender: Female

Frontal projection:

  • 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

Oblique projection:

  • comminuted fracture of the right 4th metacarpal without extension into the articular surface


Case Discussion

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.

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Case information

rID: 53741
Published: 25th Nov 2017
Last edited: 14th Aug 2019
Tag: rapids2
Inclusion in quiz mode: Included

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