A 47-year-old man presented to the Emergency Department 4.5 h after sustaining a hand injury from punching a refrigerator while intoxicated. He complained of hand pain but no numbness or tingling. On examination, the right hand was grossly deformed (Figure 1 ) with mild edema of the carpus. Motor and sensory function of the fingers were intact, and the fingers were warm, with normal capillary refilling time. The X-ray studies of the hand (Figure 2, Figure 3) revealed dorsal dislocation of the index through little finger metacarpals off of the carpal row with small, avulsed bone fragments adjacent to the distal row of carpals.
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Accepted: September 6, 2000
Received in revised form: August 9, 2000
Received: March 3, 2000
© 2001 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.