Fracture of phalanx in polydactyly
Sore right thumb after falling off bicycle. No obvious deformity. Normal movement for patient.
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Radiograph of right thumb(s).
Pre-axial polydactyly from shared metacarpal. Fracture to neck of "radial" digit's proximal phalanx.
No lateral views taken.
This patient had sustained a fracture to one of his right thumbs.
The polydactyly is the only known anatomical variant this patient had and was an incidental finding.
Given the complex underlying anatomy, the fracture was managed by the orthopaedic surgeons for follow up.