Fractured third and fourth proximal phalanges
Fall off bike.
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- Comminuted transverse off-ended fracture of the 3rd finger proximal phalanx through the midshaft. 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 intraarticular. This fracture is impacted and mildly angulated in the volar direction.
Good case illustrating a second less obvious fracture. Beware the satisifaction of search!