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A 26-year-old patient with no prior medical history presented to the emergency department with pain in his right hand after getting into a fight with another person. Figure 1 shows the hand. The function was impaired by pain. Vascularisation of the hand and fingers was normal and there was no neurological deficit. An X-ray of the hand was taken (figure 2).
What is the diagnosis?
Contributors JM wrote the manuscript for the image challenge and gathered the clinical and radiographic images. TS reviewed the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.
Provenance and peer review Not commissioned; internally peer reviewed.
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