Test yourself: X-hand

Case Study 1

A 32-year-old man spent the evening out drinking and hit someone with his right fist. His right thumb is now very painful. Physical examination reveals pain on palpation at the level of the base of dig-I.
Active abduction and flexion of the thumb are possible but very painful.

A dig-I x-ray is made of the right hand (fig. 1).

Figure 1. Lateral image and AP image of dig-I in the right hand.

Findings?

Diagnosis?

Show answer

Case Study 2

A 42-year-old woman ran into another cyclist and fell on the pavement. Especially her right hand is very painful.
Physical examination reveals a swelling at the level of MC-IV and MC-V. There is obvious axis pressure pain in metacarpal IV & V.

An x-ray of the right hand is made (fig. 2).

Figure 2. PA image (a) and oblique image (b) of the right hand.

Findings?

Diagnosis?

Show answer