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Technique guides are not considered high yield topics for orthopaedic standardized exams including ABOS, EBOT and RC.
A 42-year-old construction worker sustains a crush injury to the hand at a job site. He has immediate pain and significant swelling, and is taken to the local emergency department for evaluation. Radiographs do not demonstrate any fracture or dislocation. On exam, he experiences severe pain with passive motion at the metacarpal phalangeal joints and when the wrist is flexed and extended. Otherwise he has intact sensation and appropriate capillary refill. What is the next best step in diagnosis or treatment?
Admission for overnight observation
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