Reference no: EM133873580
Question
5th metacarpal fracture, Boxer's fracture management plan.
A 16-year-old male presents to the clinic with 8/10 sharp, achy, right-hand pain, erythema, edema, and ecchymosis for 2 hours since punching the wall after losing a soccer match. Reports tobacco and alcohol use. He denies fever, laceration, abrasion, punches to teeth, pallor, numbness, or other joint pain. Physical exam shows stable vital signs, erythema, edema, ecchymosis, and point tenderness at the 5th metacarpal with severely limited active range of motion at the Right hand and wrist due to pain. Bilateral elbow, L wrist, and L hand nontender with 5/5, full, and painless active and resisted range of motion, bilateral sensation intact and light touch at fingers, capillary refill brisk and radial pulses +2 bilaterally.