Intended for healthcare professionals

Endgames Spot Diagnosis

A painful hand after a fall

BMJ 2015; 351 doi: (Published 03 July 2015) Cite this as: BMJ 2015;351:h3388
  1. Adam Monsell, senior house officer, trauma and orthopaedics1,
  2. Vipin Asopa, consultant surgeon, trauma and orthopaedics1
  1. 1North Middlesex University Hospital, Orthopaedics, London N18 1QX, UK
  1. Correspondence to: A Monsell adam.monsell{at}

A 33 year old man presented to his local emergency department after having fallen on to clenched knuckles from standing height. On examination he had a swollen painful right hand. A …

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