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Trauma report ap lat
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X-RAY TRAUMA REPORT
Niramay Advanced Diagnostics
Date: 08 July 2026 | Time: 16:25:42
DOB: 08-07-1990 | Side: Right (R)
Study: Fingers AP
View: Anteroposterior (AP)
CLINICAL INDICATION
Trauma
TECHNIQUE
AP radiograph of the right hand. Single view provided. Lateral view not included in this submission.
FINDINGS
Phalanges:
No cortical disruption, fracture line, or step-off identified in the proximal, middle, or distal phalanges of digits 1 through 5. All phalangeal shafts and tufts are intact.
Metacarpals:
All five metacarpal shafts and heads are intact. No transverse, oblique, or spiral fracture lines. No boxer's fracture (5th metacarpal neck) or base fractures identified.
Interphalangeal Joints (PIP & DIP):
Joint spaces are preserved and symmetric bilaterally. No subluxation, dislocation, or periarticular bony avulsion fragments identified.
Metacarpophalangeal (MCP) Joints:
Well-aligned throughout digits 1-5. No subluxation or dislocation.
Carpal Bones:
Scaphoid, lunate, triquetrum, pisiform, trapezium, trapezoid, capitate, and hamate appear intact and in normal spatial alignment. No scaphoid waist lucency or carpal dislocation.
Distal Radius/Ulna (partially visualized):
No acute fracture identified within the visualized segment.
Sesamoid Bones:
Normal sesamoid bones at the 1st MCP joint. No fracture.
Bone Mineralization:
Normal for stated age (36 years). Trabecular pattern is preserved. No focal lytic or sclerotic lesions.
Soft Tissues:
No focal soft tissue swelling, subcutaneous emphysema, or radio-opaque foreign body identified.
IMPRESSION
No acute fracture, dislocation, or subluxation identified in the right hand on this AP view.
Bone mineralization and cortical integrity are normal. Soft tissues appear unremarkable.
Note: A lateral view was requested (AP + Lat) but only the AP projection has been provided here. A lateral view is recommended to complete the trauma series, particularly to assess for dorsal/volar angulation of metacarpal fractures and subtle carpal bone injuries (e.g., lunate dislocation) that may not be apparent on AP alone.
Report generated for clinical reference only. Correlation with clinical findings is advised.
Index finger fracture
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UPDATED TRAUMA REPORT - Right Hand AP
Focus: Index Finger (2nd Digit) - Detailed Assessment
INDEX FINGER - SYSTEMATIC EVALUATION
| Segment | Finding |
|---|---|
| Distal phalanx | Intact - tuft, shaft, and cortex normal; no mallet fragment |
| Middle phalanx | Smooth cortical margins bilaterally; no transverse/oblique fracture |
| Proximal phalanx | Shaft, base, and head intact; no buckling, step-off, or angulation |
| DIP joint | Preserved joint space; no intra-articular fragment or subluxation |
| PIP joint | Preserved joint space; no dislocation or avulsion |
| MCP joint | Uniform joint space; articular surfaces smooth |
| 2nd Metacarpal | Head, neck, shaft, base all intact; no periosteal reaction |
IMPRESSION
No radiographic evidence of fracture in the right index finger on AP view.
All cortical margins are continuous. No fracture line, avulsion fragment, buckling, or angulation is identified in the proximal, middle, or distal phalanges or the 2nd metacarpal.
⚠ IMPORTANT CLINICAL NOTE
Radiographs can miss up to 20-30% of phalangeal fractures on a single AP view alone, particularly:
- Undisplaced hairline fractures - may not be visible until periosteal reaction develops 7-10 days later
- Volar/dorsal cortex fractures - only visible on lateral view
- Epiphyseal/growth plate injuries - may appear subtle
Recommendations:
- Lateral view of the index finger is mandatory to complete the trauma series - this was requested but not yet provided
- If clinical suspicion remains high (tenderness, swelling, restricted movement), treat as fracture and repeat X-ray in 10-14 days
- Consider CT if clinical findings strongly suggest fracture despite normal radiograph
Radiological findings must always be correlated with clinical examination.
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