Presentation
Fall off bike.
Patient Data
Age: 35 years
Gender: Male
From the case:
Fractured third and fourth proximal phalanges
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Comminuted transverse off-ended fracture of the 3rd finger proximal phalanx through the mid-shaft. The fracture is displaced in the ulnar and dorsal direction and there is marked dorsal angulation.
Fracture of the base of the 4th finger proximal phalanx which does not appear intra-articular. This fracture is impacted and mildly angulated in the volar direction.
Case Discussion
Good case illustrating a second less obvious fracture. Beware the satisfaction of search!