A 42-Year-Old Female with Pain After a Child Fell on Her Hand

The patient is a 42-year-old woman who presents to urgent care after a child weighing approximately 70 pounds fell on her hand at a family gathering. Pain is severe around the base of the fifth metacarpal. On exam, you note soft tissue swelling in the ulnar aspect of the hand.

View the images taken and consider what your diagnosis and next steps would be.