Presentation The patient injures the fingertip by falling backward and striking it on the floor or hitting it in some other way, causing sudden and forceful hyperextension at the distal interphalangeal (DIP) joint against resistance. Alternatively, this injury can befall…
Presentation The patient seeks help after a crushing injury to the fingertip, such as closing it in a car door. The fingertip will be swollen and painful, with ecchymosis. There may or may not be a subungual hematoma, open nail…
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Presentation The patient will have jammed a finger, causing a hyperextension injury that forces the middle phalanx dorsally and proximally out of articulation with the distal end of the proximal phalanx. A swollen, painful deformity of the proximal interphalangeal (PIP)…
Presentation A patient arrives with a tender fingertip injury with a noticeable deformity. There is a history of a sudden resisted flexion of the distal interphalangeal (DIP) joint, such as when the fingertip is struck by a ball or jammed…
Presentation The patient experiences an insidious onset of difficulty with tasks such as opening jars because of pain localized to the dorsoradial aspect of the wrist that is exacerbated with thumb and wrist motion, and which may also be present…
Presentation The patient presents after falling onto the buttocks or getting kicked in the sacrococcygeal synchondrosis during an athletic activity, complaining of pain at the tip of the spine that is worse with sitting and perhaps with defecation owing to…
Presentation A patient presents with anterior shoulder pain after falling onto the lateral shoulder or, less commonly, an outstretched arm, or has received a direct blow to the clavicle. With distal clavicle fractures, patients may complain of pain on the…
Presentation The patient will complain of neck pain after any mechanism that caused forceful neck hyperextension followed by hyperflexion. This is most commonly seen after a motor vehicle collision when the vehicle is struck from behind, but sports injuries and…
Presentation The patient complains of pain, tingling, or a “pins and needles” sensation in the hand(s) or fingers. There may be the sensation of swelling or tightness in the absence of edema in the affected hand(s) as well as the…