Simultaneous Fractures Involving The Metacarpal, Proximal And Distal Phalanges Of The Thumb Ray

摘要

Fractures of the hand are a common injury. We report the case of a forty year old man who sustained three separate fractures of his right thumb, following a fall. One of the fractures required stabilisation with 2 kirschner wires. He made a full recovery. Such an uncommon injury re- emphasizes the need for a holistic approach to hand injuries. Introduction Fractures of the hand are a common injury. We report a rare case of simultaneous fractures of the metacarpal, distal and proximal phalanges of the thumb ray. Case Report A forty year old right handed male presented with a swollen right hand after coming off a bike. Examination revealed diffuse swelling, bruising and tenderness over first metacarpal, proximal and distal phalange with a laceration at the base of the nail without any distal neuro-vascular deficit. Radiographs showed fractures of the first metacarpal, head of proximal and distal phalanges of the thumb (figure 1).