Phalanx Fractures Pathway Posted: 3/5/2022 ID: (C102018)

Ring Finger Proximal Phalanx Fracture in 16M

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CASE DESCRIPTION

AGE	16 / Male
CC	Left ring finger pain
HPI	A 16-year-old male, right-hand dominant, presents to the ED for evaluation of a left-hand injury he sustained while participating in a football game (he plays the center position at a competitive level). He localizes pain to his ring finger. He denies any other injuries.
PMH	None
PE	Focused physical examination reveals ecchymosis overlying the left ring finger proximal phalanx without any open wounds. Palpation of the ring finger elicits pain. There is no evidence of rotational malalignment but mild shortening of the ring finger within the finger cascade is noted. Motor function is grossly intact as demonstrated by the cardinal hand movements. Sensation is intact to all distributions of the hand. The radial pulse is palpable, and there is brisk cap refill in all the fingers.

AGE/GENDER:

16 / Male

CHIEF COMPLAINT:

Left ring finger pain

HISTORY OF PRESENT ILLNESS:

A 16-year-old male, right-hand dominant, presents to the ED for evaluation of a left-hand injury he sustained while participating in a football game (he plays the center position at a competitive level). He localizes pain to his ring finger. He denies any other injuries.

PAST MEDICAL HISTORY:	None
PHYSICAL EXAM:	Focused physical examination reveals ecchymosis overlying the left ring finger proximal phalanx without any open wounds. Palpation of the ring finger elicits pain. There is no evidence of rotational malalignment but mild shortening of the ring finger within the finger cascade is noted. Motor function is grossly intact as demonstrated by the cardinal hand movements. Sensation is intact to all distributions of the hand. The radial pulse is palpable, and there is brisk cap refill in all the fingers.
DIAGNOSIS:	Ring Finger Proximal Phalanx Fracture in 16M