Gustavo Mantovani , MD
Chief of Hand Surgery and Orthopaedic Surgery
Red Cross Hospital, Sao Paulo, Brazil

(case submitted August 14, 2007)

The patient is a 35 YO white male who fell off a roof and was referred for treatment two weeks after the injury.

These are the xrays upon presentation.



(1) What considerations make this fracture unusual?

(2) What would be your first option?


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