Presentation
Hand trauma with ongoing pain.
Patient Data
Age: 35 years
Gender: Female
From the case:
Volar plate avulsion injury
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Frontal
Avulsion fracture of the base of the middle phalanx of the fourth digit along the volar aspect consistent with a volar plate injury. No other fractures.
Case Discussion
This patient had a history of fourth interphalangeal joint dislocation and subsequent relocation.
Volar plate injuries may be bony (as above) or may be confined to the soft tissues, and in this case ultrasound or MRI are preferred.
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