Nail gun injury to thumb

Case contributed by A.Prof Frank Gaillard

Presentation

Worker on construction site.

X-ray

X-ray thumb

Nail foreign body is seen to obliquely traverse the tuft of the distal phalanx with deformity of the adjacent soft tissues, but no clear fracture. 

X-ray

Post removal

No fracture identified. This confirms the nail was adjacent to the terminal phalanx. 

Case Discussion

This simple case illustrates an important principle. Just because two views have been obtained at right angles to each other, does not tell you everything about the trajectory / location of a structure. 

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Case information

rID: 22584
Case created: 9th Apr 2013
Last edited: 2nd Nov 2015
Inclusion in quiz mode: Included

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