Presentation
History of accidentally hit by a certain steel cable 3 hrs ago at work, he is a mason, he did not wear safety gloves, on examination: (+) crushed injury left the ring and left middle finger, (+) tenderness, distal half of mentioned fingers.
Patient Data
Age: 50 years
Gender: Male
From the case:
Distal phalanx fracture
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X-ray shows a comminuted fracture in the distal phalanx of the left ring finger.
Soft tissue shadows appear lacerated.
Case Discussion
- Phalangeal fractures result from direct trauma (hammer-heavy object)or catching a finger in a closing door, or the toe is crushed between two rigid bodies.
- Distal phalanx fractures are often accompanied by injury to the nail bed, nail avulsion, or subungual hematoma.