Diagnostic Studies

Three views of the left hand were obtained including anteroposterior, oblique, and lateral radiographs (Fig. 42—2). They confirmed fractures of the middle and ring finger metacarpals and index proximal phalanx. The middle finger metacarpal had a long spiral fracture that extended approximately three cortical diameter lengths along the metacarpal shaft. The ring finger metacarpal shaft was comminuted. The metacarpals were shortened relative to the normal cascade between the index and small fingers as evidenced by the relative height of the metacarpophalangeal (MP) joints. The index proximal phalanx fracture was minimal to nondisplaced.

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