Endgames
Case Review
Right hand pain after a punch
BMJ 2024; 384 doi: https://doi.org/10.1136/bmj-2023-077406 (Published 01 February 2024) Cite this as: BMJ 2024;384:e077406
- Xiao-jian Wang, orthopaedic surgeon1,
- Yan-jun Zhang, orthopaedic surgeon2,
- De-an Qin, orthopaedic surgeon1
- 1Department of Orthopedics, Shanxi Provincial People’s Hospital, Taiyuan, Shanxi, China
- 2Department of Orthopedics, Shanxi Provincial Xing County People’s Hospital, China
- Correspondence to D Qin qindean.student{at}sina.com
A man in his 40s presented to the emergency department with pain and limited movement in his right hand after punching a wall. On physical examination, the ulnar side of the right hand was swollen and tender and the patient had a limited range of motion in the wrist joint. The overlying skin was intact, and neurovascular examinations were normal. An x ray image of the right hand is shown in figure 1.
Fig 1
Oblique view x ray image of the right hand
Questions
What does the x ray image show?
What is the diagnosis?
What is the management for …
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