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Find the fracture... - January 11, 2006 4:56:00 AM

Alex Brenner PT MPT OCS

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Subtle fracture, one view, small image, crappy computer screen. Lets see how good you are. :)

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< Message edited by David Adamczyk -- July 12, 2007 9:26:23 PM >

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Alex Brenner, PT, MPT, OCS

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Re: Find the fracture... - January 11, 2006 7:07:00 AM

SJBird55

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My eyes are initially drawn toward the hamate where it borders the lunate. Maybe at the distal kind of lateral navicular? I can't really tell though.

I've never really understood how radiologists can easily look at radiographs and read them without a decent chunk of history - you know, like in this case... fell on outstretched hand or hit with blunt object. LOL

(in reply to Alex Brenner PT MPT OCS)

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Re: Find the fracture... - January 11, 2006 7:33:00 AM

Sean Weatherston

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From: Idaho
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Looks like there's a little somethin' somethin' at the medial hamate.

BTW, what's the brighter white area also on the hamate? Assuming it's the hook of the hamate, but someone please correct me if I'm wrong...

Sean

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Re: Find the fracture... - January 11, 2006 2:33:00 PM

MPT

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From: Syracuse, New York
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The 1st proximal phalynx looks like it has a fx right at the joint line, on the ulnar side.

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Re: Find the fracture... - January 11, 2006 2:52:00 PM

jma

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I agree something like a fx at the medial hamate. Im also curious about the ulnar side of the 1st proximal phalanx.

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Re: Find the fracture... - January 11, 2006 4:20:00 PM

FLAOrthoPT

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From: West Palm Beach
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ditto, would have to say this would not be the view to look at the hammate, but that proximal side does look like small fx., was looking for somse soft tissue swelling to give this away, but cannot find it, let me ask you this though. Seeing the Fx or not seeing the Fx, would your treatment differ?

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Re: Find the fracture... - January 17, 2006 1:36:00 AM

Alex Brenner PT MPT OCS

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From: Kentucky
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< Message edited by David Adamczyk -- July 12, 2007 9:28:10 PM >

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Alex Brenner, PT, MPT, OCS

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Re: Find the fracture... - January 17, 2006 1:46:00 AM

SJBird55

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The perfect example of why one should always have 2 views. Is that the same person? LOL

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Re: Find the fracture... - January 18, 2006 4:56:00 AM

connie.pt

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From: Michigan
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Ha Ha! you got us, Alex!

...so there isn't a fx of the hamate, huh?

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Re: Find the fracture... - January 18, 2006 8:16:00 AM

ehanso

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From: Minnesota
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OK I'll take a stab at it. Distal - Medial aspect of the proximal 5th phalange. ???

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Re: Find the fracture... - January 18, 2006 8:20:00 AM

SJBird55

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Falls, isn't it the infamous middle finger?

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Re: Find the fracture... - January 19, 2006 3:26:00 AM

ehanso

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I was looking at the first view. But is IceBox Days this week so maybe I had a brain freeze.

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Re: Find the fracture... - January 19, 2006 11:01:00 AM

Sebastian Asselbergs

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From: Barrie, Canada
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seriously, I think I see a fracture at the anterior base of the middle phalanx of the third finger (even in the first view...)- appropriately positioned for our drivers here...

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Re: Find the fracture... - January 23, 2006 6:31:00 AM

Sebastian Asselbergs

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From: Barrie, Canada
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...still seeing it....Do I need to change my meds?

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Re: Find the fracture... - January 23, 2006 12:41:00 PM

jma

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I see it as well. Were we close or far off Alex?

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Re: Find the fracture... - January 23, 2006 8:28:00 PM

Alex Brenner PT MPT OCS

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From: Kentucky
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There is a nondisplaced, incomplete, oblique fracture through the palmar aspect of the base of the third middle phalanx with mild adjacent soft tissue swelling. No other osseous or soft tissue abnormalities are noted.

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