A 11-year-old boy was playing in the garden. He fell on the climbing frame, catching his left thumb has he lands. It was painful and swollen. He was unable to move his thumb. He was brought to ED. Examination His thumb is swollen with bony tenderness maximal in the region of the thumb proximal pharynx and metacarpal.

There was virtually no range of movement at the thumb metacarpophalangeal joint or the interphalangeal joint. Capillary refill is normal (less than 2 seconds) and sensation is intact distally. Radiographs were acquired (attached images). Is there a fracture in any of his fingers? *This case is from Docplexus editorial team for educative purpose only. Source: 100 Cases In Radiology Stay connected, the answer will be posted in the next 48h!