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    Subjects/Anatomy/Normal Lateral Hand X-ray
    Normal Lateral Hand X-ray
    medium
    bone Anatomy

    A 22-year-old male presents to the emergency department with pain and swelling over the dorsum of his right hand after punching a wall in anger. Clinical examination reveals a closed fist deformity with the 5th finger appearing to deviate slightly toward the midline. A lateral X-ray of the hand is obtained. The structures marked **D** in the diagram show normal alignment. However, the distal neck of the 5th metacarpal is fractured with 35° of volar angulation. Which of the following is the most appropriate management?

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