Clinical Challenge: October 2017

The patient is a 25-year-old male who presents with pain over the distal phalanx of the middle finger. He says he hit it with a hammer while hanging a picture frame in his new apartment a short while ago. Pain is evident upon palpation over the distal phalanx of the middle finger, but there are no cuts or breaks in the skin. Neurovascular status is intact. View the image taken (Figure 1) and consider what …

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Finger Injured by a Hammer Blow

Finger Injured by a Hammer Blow

A 33-year-old man presents to the urgent care 2 hours after hitting his middle finger of his left hand with a hammer. He has severe pain and has wrapped the finger in bacon. His pain increases as he moves through the range of motion, and he has numbness over the tip of the finger. He has no other injuries, and his tetanus immunization is up to date. View the image taken (Figure 1) and consider …

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