Nail through wrist

Case contributed by Michael P Hartung
Diagnosis certain

Presentation

Nailgun injury.

Patient Data

Age: 55 years
Gender: Male
x-ray

Large nail traversing the palmar soft tissues at the base of the metacarpals. Flexion deformity of the 5th DIP. 

 

Case Discussion

Misadventures with a nailgun. Uncertain if the 5th DIP flexion is an acute or chronic finding reflecting tendon/nerve injury. 

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