Ortho Hors D'oeuvres (Prompt):

Patient is a 14 year-old boy presenting after slamming his 4th finger in a door.

On examination, the right ring finger has exposed nail root above the eponychium. There is no clear laceration to the nail matrix or bed. Pt has good capillary refill and two-point discrimination distally.

X-rays show:

Questions:

1) Why is an x-ray recommended in a patient with this injury pattern?

2) What type of injury pattern has this patient sustained?

3) What is the most appropriate next step in management of this patient’s injury?

#Orthopedicsupperextremity

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