work crush injury despite heavy leather gloves. 4mm distal | Figure 1

work crush injury despite heavy leather gloves. 4mm distal phalange bone exposed. Sent to hand surgeon. Digital block worked wonders for the pain.

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Early 20s male working out in gym. Dropped weights on his finger. Note the phalanx sticking out of the wound. Neurovascular intact. Should heal without difficulty.

This is a low-income 52-year-old man who comes to the office with a history of machete trauma of the second left finger. Patient unable to perform extension movements. Dx: Open fracture of the distal base of the phalanx with injury of the extensor mechanism.

Someone broker her finger trying to get her ring off.

45 years old male with an accident with a grinding wheel at work. Without loss of mobility or loss of sensibility. The x-ray showed a fracture in the distal phalanx of the second finger of the left hand with loss of bone. The procedure was to take out the nail, make the osteosynthesis with an IM needle, close the wound and immobilization of the finger with a zimmer splint. Patient returns in 3 weeks.

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