Multiple acute and chronic hand injuries

Case contributed by Andrew Dixon
Diagnosis certain

Presentation

Trauma to right hand.

Patient Data

Age: 40 years
Gender: Male

This case features in our X-ray Interpretation: Hand Injuries learning pathway. 

Right hand

x-ray

Dorsal dislocation of the 4th proximal interphalangeal joint. Acute, mildly displaced oblique fracture of the right 4th metacarpal shaft without intra-articular extension. Old healed fracture of the 5th metacarpal neck with residual volar angulation. 

Case Discussion

Multiple hand injuries including

  • dorsal dislocation of the 4th proximal interphalangeal joint
  • acute oblique fracture of the right 4th metacarpal shaft
  • old healed fracture of the 5th metacarpal neck

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