Fractures of 4th and 5th metacarpals
Hand injured by closing door. Severe pain and swelling.
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Irregular contours of bases of 4th and 5th metacarpals with shortening of these metacarpals compared to adjacent ones. No dislocation.
Apparent shortening of the 4th and 5th metacarpals in the setting of trauma should prompt a careful search for fractures at the metacarpal bases.