The Case:

A 40-year-old male with no past medical history presented to the emergency department after he was assaulted with closed fists just prior to arrival. The patient’s injuries included a blow to the back of his right hand. On exam he was found to have swelling and tenderness to the dorsal aspect of his right hand. He had brisk capillary refill and normal sensation to light touch in all fingers. There was no malrotation of fingers with a closed fist.

Matthew Hughes, MD

The Case:

A 16-year-old male presented to the ED 3 days after slipping on ice and landing on his right heal with significant impact. On examination he is neurovascularly intact, however, has significant tenderness to palpation over the right heal, and the rest of his lower extremity exam is limited secondary to pain.

Vishal Mittal, MD