Q:

A 2 year old fell on outstretched hand on playground. He presents with pain on base of the thumb. X-ray shows no fracture. What is the single most likely diagnosis?

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A 2 year old fell on outstretched hand on playground. He presents with pain on base of the thumb. X-ray shows no fracture. What is the single most likely diagnosis?


  1. Colles fracture
  2. Head of radius
  3. Mellet finger
  4. Scaphoid fracture
  5. No fracture

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The key is D. Scaphoid fracture. [Scaphoid fracture is often missed in initial x-ray].

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