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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
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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?
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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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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< Message edited by David Adamczyk -- July 13, 2007 2:29:05 AM >