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Diagnosis of scaphoid fractures. Are plain radiographs reliable?

It's a busy wednesday morning in ED. A 18 yo guy presents with the right hand upraised and dressed. In the other hand he has a bundle of X ray. “About ten days ago, it was a Saturday night, I was with my new girl-friend. Hitting a punch bag as hard as…

ByCiro Paolillo6 August 20140Comments

Bones and joints

Is my hand broken?

A 24 y/o guy presents in ED with the left hand upraised. “I fell off my bike yesterday – he says – I remember a serious impact with an outstreched palm.” There aren’t wounds, he feels pain on the radial side of left wrist, there is an anatomical snuffbox tenderness. The clamp sign is…

ByCiro Paolillo16 June 20140Comments

The Emergency Physician

Diagnosis of scaphoid fractures. Are plain radiographs reliable?

Is my hand broken?

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