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" Dorsally-Displaced Metacarpal Dislocation-Fracture "
Barnett, Richard; Brodsky, Richard
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AL
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| Record Number
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927346
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| Doc. No
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LA47s1c86r
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| Language of Document
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English
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| Main Entry
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Barnett, Richard; Brodsky, Richard
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| Title & Author
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Dorsally-Displaced Metacarpal Dislocation-Fracture [Article]\ Barnett, Richard; Brodsky, Richard
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| Title of Periodical
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Journal of Education and Teaching in Emergency Medicine
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| Volume/ Issue Number
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3/3
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| Date
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2018
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| Abstract
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ABSTRACT: History of present illness: A 19-year-old male presents to the emergency department with an injury to his right hand that he sustained after punching a tree while intoxicated. The patient had his fingers flexed and wrist extended while he punched the tree. He was able to move his fingers after the event but was complaining of severe pain over the ulnar aspect of the wrist. The patient denies punching someone in the mouth, obviating concern for a “fight bite.” On exam, the ulnar aspect of the dorsum of the right hand appeared grossly deformed and edematous. There were two abrasions over the dorsum of the hand, without exposed bone, lacerations, ecchymosis, or active bleeding. Capillary refill, strength, and sensation were present in all parts of the hand, including radial, ulnar, and median nerve distribution.
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