Pin the Tail on the Finger

Pin the Tail on the Finger

This pin was placed in this patients finger for a reason rather than a fancy decoration. What do you think this pin could be doing for this patient. Here is a bit of history about the patient. The patient has an intra-articular PIPJ fracture with comminution....
Wrist Sprain or Something More

Wrist Sprain or Something More

A friendly patient is referred to you from a general Dr. with the diagnosis of wrist sprain. His script says strengthing program for wrist sprain. You do a detailed wrist exam and you find the following: Tenderness in the scapho-lunate region, positive Watson’s...
Is Something Missing?

Is Something Missing?

The x-ray in this photo tells a story. By looking at this x-ray you should be able to determine the patients diagnosis and what procedure was done or should be done to help this patient. Moderator's Response The patient has bilateral CMCJ OA. The left thumb has...
Fat Finger or Infection?

Fat Finger or Infection?

What do you think might be happening? What would be a good treatment plan? Moderator's Response This patient presented with an infection due to Staphylococcus into the hangnail referred to as a paronychia. It usually occurs on one side of the nail bed but may...
Tricky Case

Tricky Case

This 36 year old male underwent multiple surgeries after a traumatic injury. Looking at the photo can you describe what procedures this patient had? Moderator's Response If you look closely you notice the patient has only 4 digits. His index finger is missing due...