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I HUMAN CASE WEEK #9 16 YEAR OLD MALE, REASON FOR ENCOUNTER: HAND PAIN NEWEST CASE 2026

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This comprehensive clinical case study details the emergency management of a 16-year-old male basketball player with acute hand pain after a “jamming” injury. The case demonstrates systematic evaluation leading to diagnosis of a Salter-Harris Type II fracture of the proximal phalanx of the fifth digit—a common yet critical pediatric fracture involving the growth plate. Key topics include: physical exam techniques for hand trauma, imaging interpretation, proper ulnar gutter splint application in “intrinsic plus” position, and the importance of neurovascular assessment and pediatric orthopedics follow-up. Ideal for medical students, emergency clinicians, sports medicine providers, and orthopedics educators focused on adolescent trauma, fracture management, and interdisciplinary care coordination.

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I HUMAN CASE
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I HUMAN CASE

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Uploaded on
January 24, 2026
Number of pages
13
Written in
2025/2026
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, I HUMAN CASE WEEK #9 16 YEAR OLD MALE,
REASON FOR ENCOUNTER: HAND PAIN NEWEST CASE 2026


Executive Summary
A 16-year-old male presents to the emergency department with
acute-onset right-hand pain following a sporting injury. This
case illustrates the critical importance of a systematic, age-
appropriate approach to musculoskeletal trauma in
adolescents. Through a structured primary and secondary
survey, focused physical examination, and targeted diagnostic
imaging, the care team identified a Salter-Harris Type II
fracture of the proximal phalanx of the fifth digit—a common
yet often missed injury in the skeletally immature patient. The
case highlights the intersection of sports medicine, pediatric
orthopedics, and emergency care, emphasizing the need
for growth plate assessment, proper immobilization, and
adolescent-specific communication to ensure optimal
functional recovery and prevent long-term complications.


1. Patient Introduction & Demographics
 Age: 16 years, 4 months
 Sex: Male
 Race/Ethnicity: Optional
 Occupation: High School Student

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