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ע"<br />
שת/<br />
תבט/<br />
ג"<br />
י<br />
18<br />
HISTORY<br />
Trauma pattern: occured in dirty / clean place<br />
associated crush injuries<br />
hand position at injury<br />
high preesure injection<br />
jewelry on fingers<br />
* fist / open hand<br />
* lacerations (over MCP?)<br />
* fist in mouth<br />
Domiant hand and hobbies<br />
Dist. phalanx<br />
Middle phalanx<br />
Prox. phalanx<br />
Metacarpals<br />
ANATOMY<br />
Thumb-Trapezium free articulation<br />
D4-5 with 20-25º of A-P movement<br />
D2-3 with minimal flex.-ex.
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