Radiology ReviewMarch, 2010
A 57-year-old man presents for evaluation of neck and right hand pain after being involved in a motor vehicle crash. He was in a vehicle that was broadsided by a tractor-trailer. He was a restrained driver with no air bag deployment.
Medical history is significant for hypertension and a chronic speech impediment. The man’s vital signs are stable. Examination of his right hand reveals no obvious deformity. There are some superficial abrasions, with moderate soft tissue swelling and tenderness throughout the dorsal aspect. He has good sensation, pulses, and capillary refill time. Radiograph of the right hand is shown.