Presentation Blunt trauma to the distal phalanx may result in nail avulsion, nail bed laceration, and distal phalanx fractures. The nail may be completely avulsed, partially held in place by the nail folds, or adhering only to the proximal nail…
Presentation The patient has experienced blunt trauma such as a fall or other impact injury. The initial pain has subsided, but point tenderness, swelling, ecchymosis, and pain with use remain after 3 days. On physical examination, there is insignificant loss…
Presentation A small child, riding on the back of a friend’s bicycle, gets their foot caught between the spinning spokes and the frame. The skin over the lateral and medial aspects of the foot or ankle is crushed and abraded…
Presentation The patient fell while holding on to a ski pole, banister, or other fixed object, forcing the thumb radially into abduction and causing pain at the base of the thumb. The metacarpophalangeal (MCP) joint of the thumb is swollen…
Presentation The patient, usually a young or middle-aged adult, complains of neck pain and is unable to turn the head, usually holding it twisted to one side, with involuntary spasm of the neck muscles and the chin pointing to the…
Presentation A patient has stubbed, hyperflexed, hyperextended, hyperabducted, or dropped a weight on a toe. The patient presents with pain, swelling, ecchymosis, and decreased range of motion (ROM) or point tenderness. There may or may not be deformity or angulation.…
Presentation There is pain along an involved tendon, often poorly localized, that worsens with motion, resisted contraction, or passive stretching. A vibratory crepitus may be felt on palpation over the tendon during tendon movement. Common sites include the posterior heel,…
Presentation The patient arrives holding one arm with the opposite hand, complaining of severe pain that increases with any movement of the injured shoulder joint. The patient states that the “shoulder is out,” and is unable to move it because…
Presentation The patient (usually 14–40 years of age) fell on an outstretched hand (FOOSH) with the wrist held rigid and extended and now complains of decreased range of motion (ROM) and a deep full pain in the wrist, particularly on…
Presentation The patient has injured the upper arm, usually by sleeping with the arm over the back of a chair. The patient now presents, usually the next day, holding the affected hand and wrist with the good hand and reports…