Star InactiveStar InactiveStar InactiveStar InactiveStar Inactive

Hold Your Horses!

Author: Swami Rajaram, MD\
Peer-Reviewer and Final Editor: Alex Tomesch, MD, CAQ-SM 

A 22-year-old female presents to the Emergency Department with traumatic left 5th digit pain. She was in a horse racing competition when she awkwardly pinned her hand against the back of her horse. On exam, there is an obvious deformity of the 5th digit with tenderness to palpation of the proximal phalanx. Patient has diminished sensation to the fingertip. She has good capillary refill and no evidence of open injury.  

Image 1. XR Left hand. Author’s own images


[1] Oetgen ME, Dodds SD. Non-operative treatment of common finger injuries. Curr Rev Musculoskelet Med. 2008;1(2):97-102. doi:10.1007/s12178-007-9014-z

[2] Stern P. Fractures of the metacarpals and phalanges. In: Green's Operative Hand Surgery, 5th, Green DP, Pederson WC, Hotchkiss RN, Wolfe SW (Eds), Elsevier - Churchill Livingstone, Philadelphia 2005. P.277.

[3] Vadivelu R, Dias JJ, Burke FD, et al. Hand injuries in children: a prospective study. J Pediatr Orthop. 2006;26:29–35.