Presentation
Punched a wall. Tender 5th metacarpal.
Patient Data
Age: 30 years
Gender: Male
From the case:
Intra-articular base of 5th metacarpal fracture
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There is a displaced intra-articular fracture involving the radial aspect base of the right fifth metacarpal. This could probably be better visualized on a reverse oblique radiograph. There is associated soft tissue swelling.
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Annotated images showing the intra-articular fracture fragment from the radial aspect base of the 5th metacarpal hidden by the 4th metacarpal base.
Case Discussion
An example of a base of 5th metacarpal intra-articular fracture that could potentially be missed by the inexperienced reader as the major fracture fragment is superimposed over the 4th metacarpal base on the PA and oblique images.
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