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The Resolution
Diagnosis: The x-rays reveal a Bennett fracture (arrows).
Bennett fractures are caused by an axial loading of a flexing thumb, often from a fall or blow from an object like a soccer ball or football. Closed reduction and thumb spica immobilization are indicated, but these injuries frequently re-displace and should always be managed in consultation with an orthopedic surgeon. Open reduction and fixation for persistent displacement is required.
Acknowledgement: Case presented by Teleradiology Specialists (http://www.teleradiologyspecialists.com)
Clinical Challenge: September, 2014
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