Diagnosis: The x-ray reveals a fracture of the second metacarpal (arrow). Oblique fractures are at risk for rotational deformity and should prompt immediate referral when deformity is present. 
Acknowledgement: Case presented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.

Clinical Challenge: October, 2013

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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