68-Year-Old Female With Swollen, Painful Hand

68-Year-Old Female With Swollen, Painful Hand

A 68-year-old woman presents to urgent care with her husband after tripping on a rug at home the previous day and falling onto her left hand. She has experienced persistent pain and swelling in the hand since the fall. Ibuprofen provided modest pain relief. Physical examination reveals normal vital signs with focal edema and tenderness over the dorsal surface of the 4th and 5th metacarpals. Decreased range of motion and knuckle contour at the 5th …

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A 35-Year-Old Man with Pain After Punching a Wall

A 35-Year-Old Man with Pain After Punching a Wall

A 35-year-old male presents to urgent care complaining of pain over the metacarpal of the little finger after punching a wall in his home for reasons he chose not to explain. On exam, pain is evident with palpation at the base of the metacarpal. You note there is a deformity over the 5th metacarpal bone. The neurovascular status is intact. View the images taken and consider your next steps, along with possible diagnoses.

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