What are the risk factors

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What are the Risk factors of a 16-year-old healthy male, presents with 8/10 aching pain and swelling over the 5th metacarpal (MC) 2 hours after a recent intentional punch to the cement wall after losing a soccer match. He reports that ice application, keeping the hand still, and cradling the right hand with the left minimizes pain. He denies fever, laceration, abrasions, numbness, tingling, or other joint pain, punch to the mouth or face of another person, and has a negative personal or family history of sarcoma or genetic condition. Physical examination reveals stable vital signs, ecchymosis, swelling, and point tenderness over the 4th and 5th MC of the right hand, 20-degree angulation in digits without accompanying flexion or claw deformity, and minimal range of motion in right fingers and wrist, worse at 4th and 5th digits due to pain. The remaining physical exam findings are unremarkable.

Reference no: EM133866545

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