Anne Slater HPER-A 482 4/20/14 Upper Extremity Abstract Background: Patient was intoxicated at a party and punched

a wall. She was worried about a fracture and phoned her athletic trainer immediately. Upon initial examination, it did appear to be fractured; however, a day later, the pain and swelling had decreased significantly, to the point where a fracture seemed unlikely. She has good function of her fingers and is able to make a fist, and play volleyball. Differential Diagnosis: Differential diagnosis included bone bruise, and fractured metacarpal (4th or 5th). Radiology ruled out a fracture. Treatment: This injury is being treated with indirect (underwater) pulsed ultrasound, ice cupping, and a buddy taping for support during practice. Discussion: This injury, though it initially seemed severe, appears to be less significant than a fracture. The bones did not appear fractured on the x-ray, and the athlete has full function of her fingers. Without any physical limitations, the athlete is being monitored for changing or increase in symptoms, but at this point no fracture is suspected and treatment will continue as needed.