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Review Question - QID 219433

Metacarpal Fractures General Treatment Operative QID: 219433 (OBQ23.6)
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QID 219433 (Type "219433" in App Search)
A 27-year-old training for a mixed martial arts fight presents to the emergency department complaining of hand pain after throwing a punch. On examination, there is soft tissue swelling over the dorsum of the hand and tenderness to palpation over the 4th ray. Radiographs of the hand demonstrate a 4th metacarpal neck fracture. Which of the following would be the strongest indication for fixation of this fracture?
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