Presentation
Pain post fall ? fracture.
Patient Data
Age: 40 years
Gender: Female
From the case:
Short 4th metacarpal - post-traumatic
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No acute fracture or malalignment. Short fourth metacarpal noted on frontal view, seen to be post-traumatic (healed fracture) on the oblique view.
Case Discussion
There is a long list for causes/associations of a short fourth (or fifth metacarpal). Post-traumatic is a common cause that shouldn't be forgotten - "when you hear hooves, look for horses not zebras".
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