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The patient is a healthy 37-year-old who reports falling on his hand, with his thumb outstretched.
Upon examination, you find local mild swelling and tenderness and decreased range of motion of the thumb. There is no snuffbox tenderness, however.
View the x-rays taken (Figure 1) and consider what your next steps would be. Resolution of the case is described on the next page.
Clinical Challenge 2: March, 2007
Nahum Kovalski, BSc, MDCM
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