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The correct diagnosis is an intra-articular fracture at the level of the wrist.
After the foreign body was removed and the patient was given a tetanus booster, she was referred for urgent orthopedic management.
This case illustrates the simple but important precept of looking beyond the surface (in this case, literally) of the presenting complaint.
Case presented by Nahum Kovalski, BSc, MDCM.
[taq_review]
73-year-old woman with foreign body lodged in hand after fall
Nahum Kovalski, BSc, MDCM
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