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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).
Figure 1Swelling of the right hand compared to the left hand.
