Presentation
Rugby tackle injury to index finger.
Patient Data
Age: 14 years
Gender: Male
From the case:
Salter Harris 4 fracture of index finger middle phalanx
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Longitudinally oriented fracture through the 2nd digit middle phalangeal base which involves both metaphysis and epiphysis in keeping with a Salter-Harris 4 fracture. No significant intra-articular displacement is evident, however the lateral projection demonstrates some mild dorsal angulation of the metaphyseal fragment. The PIPJ is normally aligned and no other fracture of the 2nd digit is identified. The 3rd digit demonstrates normal alignment with no fracture evident.
Case Discussion
Example of SH 4 fracture.