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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.
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Left ring finger proximal phalanx ORIF - CPT 26735