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SET T0031 - Emergency Department - Thumb

CASE 1

HISTORY

Male aged 17.

Fell on the hand whilst playing rugby. Tenderness at the base of the thumb.

QUESTION

Normal or abnormal radiographs?

ANSWER

CASE 2

HISTORY

Female aged 11.

Rollerblading. Fell on to the hand.

On examination: generalised tenderness across all of the metacarpals.

QUESTION

Is there a metacarpal (MC) fracture?

ANSWER

CASE 3

HISTORY

Male aged 29.

Fell at a skate park. Injured the hand.

On examination: swelling, tenderness, and a reduced range of movement affecting the first metacarpal.

QUESTION

Normal or abnormal?

ANSWER

CASE 4

HISTORY

Male aged 11.

Fell when playing on a bouncy castle. The thumb is tender.

QUESTION

Normal or abnormal appearances?

ANSWER