Comminuted fracture right 4th metacarpal

Case contributed by Subash Thapa
Diagnosis certain

Presentation

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 the frontal view and could easily be missed. This case highlights the importance of two views in patients with trauma.

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