In addition to the posteroanterior and lateral hand images, we obtained a 45° to 60° pronated oblique view of the hand to best visualize the index finger dorsoradial metacarpal tubercle. Office films via fluoroscopy were obtained in all patients who presented without outside imaging. ![]() Age, gender, hand dominance, laterality of affected hand, clinical examination (presence of pain, tenderness, and/or radial collateral ligament instability), fluoroscopic interpretation of the right index finger (according to the senior hand surgeon), radiologist MRI impression (if obtained), treatment, and length of follow-up were recorded. Other etiologies of pain in this vicinity (eg, stenosing tenosynovitis, ganglion, osteoarthritis, fracture, acute ligament injury, dislocation, infection, and inflammatory arthropathy) were excluded based on history, clinical examination (presence of erythema or swelling, pain at the A1 pulley, tenderness to palpation of the dorsal MCP joint, or pain on axial load across the MCP joint), fluoroscopy, magnetic resonance imaging (MRI), and blood work when indicated. ![]() Patients identified with moderate to severe pain at the dorsoradial tubercle of the index finger metacarpal were included. ![]() After we obtained institutional review board approval, we retrospectively reviewed all patients presenting to a single hand surgeon’s practice from Januto July 31, 2018.
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