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Hand Injury
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Re: Hand Injury - July 22, 2005 3:36:00 AM
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ehanso
Posts: 353
Joined: September 14, 2004
From: Minnesota
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From a very amateur view there is a fracture of the ulnar styloid and dislocation or rupture of the ulnar colateral ligament. The space is obviously excessive.
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Re: Hand Injury - July 22, 2005 9:02:00 AM
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gerry
Posts: 235
Joined: July 6, 1999
From: Montgomery, AL, USA
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Non-displaced fracture fifth metacarpal.
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Re: Hand Injury - July 22, 2005 11:16:00 AM
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chiroortho
Posts: 655
Joined: February 18, 2004
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TFCC tear. Next step: MRI.
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Greg Priest, DC, DABCO
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Re: Hand Injury - July 22, 2005 2:38:00 PM
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jma
Posts: 2301
Joined: August 24, 2000
From: NY
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I'm guessing Triangular Fibrocartilagenous Cartilage Complex (TFCC) tear or triangular cartilage tear. What is going on at the base of the fifth metacarpal on the first picture?
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Re: Hand Injury - July 22, 2005 8:47:00 PM
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pablo w
Posts: 88
Joined: November 13, 2002
From: Canberra
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Fifth metacarpal fracture, midshaft, undisplaced
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Re: Hand Injury - July 23, 2005 8:00:00 AM
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chiroortho
Posts: 655
Joined: February 18, 2004
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I see what you're looking at, you might be right Pablo. Usually with a MC fx you'll see displacement, but in a 13 year old it might be more of a greenstick.
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Greg Priest, DC, DABCO
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Re: Hand Injury - July 24, 2005 1:14:00 PM
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jma
Posts: 2301
Joined: August 24, 2000
From: NY
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Hmm, what are the findings Alex?
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Re: Hand Injury - July 25, 2005 7:39:00 AM
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UTDC
Posts: 221
Joined: December 21, 2003
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Once again, Pablo's on fire.
Jeff
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Re: Hand Injury - July 25, 2005 8:05:00 AM
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JLS_PT_OCS
Posts: 1684
Joined: January 30, 2005
From: USA
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YOU CANNOT STOP PABLO....
J
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Jason Silvernail DPT, OCS, CSCS
Homo Vegetus
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko, Writer and Physical Therapist
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Re: Hand Injury - July 25, 2005 9:07:00 AM
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Synergy
Posts: 589
Joined: March 11, 2004
From: Forney, TX
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While Pablo may be 'en fuego', Gerry nailed it a few posts prior to Pablo. :)
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Chris Adams, PT, MPT
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Re: Hand Injury - July 25, 2005 9:47:00 AM
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chiroortho
Posts: 655
Joined: February 18, 2004
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Okay. Well, if it is a midshaft fracture, and I think it is, then describe the fracture in more detail. Midshaft nondisplaced is not enough.
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Greg Priest, DC, DABCO
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Re: Hand Injury - July 25, 2005 5:53:00 PM
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pablo w
Posts: 88
Joined: November 13, 2002
From: Canberra
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Undisplaced spiral fracture midshaft 5th metacarpal, right hand. I think that's right.
Pablo
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Re: Hand Injury - July 25, 2005 7:42:00 PM
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UTDC
Posts: 221
Joined: December 21, 2003
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oops. Gerry, you rock as well.
Personally, I think midshaft, nondisplaced is fine.
Jeff
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Re: Hand Injury - July 26, 2005 3:57:00 AM
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chiroortho
Posts: 655
Joined: February 18, 2004
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Jeff you're right. Just gilding the lilly a little. Spiral it is.
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Greg Priest, DC, DABCO
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Re: Hand Injury - July 28, 2005 2:03:00 AM
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Sebastian Asselbergs
Posts: 1061
Joined: September 29, 1999
From: Barrie, Canada
Status: online
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5th, right?
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Mundi vult decipi
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Re: Hand Injury - July 28, 2005 3:28:00 AM
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gerry
Posts: 235
Joined: July 6, 1999
From: Montgomery, AL, USA
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Thanks! I have to credit my son for this one, though. He had this injury several years ago. His was more straight-planed, and not spiral. I still have that x-ray around somewhere...
I'll not ever be allowed to forget it because it took several days for me to take him to the orthopedist. Whenever he gets hurt now, and I say it's nothing serious, he reminds us all how I would not take him to the doctor when his hand was broken. Sigh. Thank goodness for teenagers who keep us humble.
Thanks Alex for these great case studies. They are always fun and challenging, and I really appreciate the effort you take to post them. Usually, when I check in on the board, the X-ray has been up a while and there are many responses. Just happened to check in at the opportune time this time!
Oh, and Pablo definantly rocks!
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Re: Hand Injury - July 28, 2005 4:49:00 AM
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Alex Brenner PT MPT OCS
Posts: 1057
Joined: February 29, 2004
From: Kentucky
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Yes. 5th. Sorry about the typo. Good catch Sebastian.
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Alex Brenner, PT, MPT, OCS
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Re: Hand Injury - July 28, 2005 12:56:00 PM
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pablo w
Posts: 88
Joined: November 13, 2002
From: Canberra
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Gerry,
Thanks, but you did have it right before I did!
Pablo
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