If you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. You will then receive an email that contains a secure link for resetting your password
If the address matches a valid account an email will be sent to __email__ with instructions for resetting your password
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.
Figure 1Hand injury sustained by punching a non-deformable surface.
Figure 2Antero-posterior X-ray of the right hand demonstrating carpo-metacarpal dislocation.
Arrow indicates the abnormal overlapping of the carpal and metacarpal bones.
