Ortho Hors D'oeuvres (Prompt):
Patient is a 63 year-old right-handed man who fell on the ground while getting out of the tub yesterday. He caught himself on his left hand and has been icing his wrist since. On exam: X-rays show: Questions: 1) What is the key finding on x-ray? What is its eponym? 2) What are important neurovascular structures possibly endangered by this lesion? 3) Does it need a closed reduction? What measurements can be used to verify an adequately reduced fracture? #Orthopedicsupperextre
Ortho Hors D'oeuvres (Answer):
To review, this is a 35 year-old right-hand dominant man presenting with laceration to distal aspect of middle finger of left hand while working on a construction site. Questions and Answers: 1) What is the key finding on x-ray? This x-ray demonstrates obvious subcutaneous air tracking on the volar aspect of the middle phalanx all the way to the base of the digit--very proximal to the externally viewed injury 2) How was this injury likely sustained? The x-ray findings here ar
Ortho Hors D'oeuvres (Prompt):
Patient is a 35 year-old right-handed male presenting with the following finger laceration sustained while doing construction work one hour prior to presentation: X-rays to rule out foreign bodies show: Questions: 1) What is the key finding on x-ray? 2) How was this injury likely sustained? 3) What are the key next steps in history collection, physical exam, and management? #Orthopedicsupperextremity
