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Metacarpal Shaft Case 1
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| 20y/o RHD male sustained displaced transverse metacarpal shaft fracture in a "fall." Physical exam demonstrated an abnormal cascade, but no open wound, and a sensate, well vascularized digit. A/P injury view shown. |
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| Oblique injury view. |
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| Lateral injury view demonstrates 60 degrees of apex dorsal angulation. |
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| Patient wasa treated with ORIF using the Synthes mini-fragment set via a dorsal longitudinal incision 5 days after injury. |
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| Oblique post-op view. |
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| Lateral post-op view. Post-op patients was placed in an ulnar gutter splint. At his one week appointment he was placed in removed splint and given home ROM exercises. Continued stiffness noted at 5week f/u appointment was treated with formal occupational therapy with gradual return to full ROM and fracture healing. |
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