A healthy 30-year-old male presented to the emergency department with swelling and pain of the right hand and wrist after punching a wall 5 days earlier (Figure 1). The patient was in moderate, aching pain, worse with movement and better with rest. He was seen at an outside hospital, placed in a volar splint and told to follow-up with an orthopedist. He presented for a second opinion. An x-ray study of the right hand with three views was performed (Figure 2, Figure 3, Figure 4).
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Published online: January 17, 2015
Accepted: November 16, 2014
Received in revised form: October 13, 2014
Received: August 6, 2014
© 2015 Elsevier Inc. Published by Elsevier Inc. All rights reserved.