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I’m a PA in ortho, working in hand surgery at the time. The patient says he had a wrist replacement a number of years ago and has a hole in his wrist. I figure he has a small draining sinus. He comes in, first I see his X-rays which looks like he has a massive contracture. Not ideal, but not uncommon. He has combined on his wrist which I peel off to see a 3X6cm hole in his wrist opening directly on his implanted wrist replacement, specifically on the poly insert that allows the two portions of the implants to glide on one another.

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Had a guy show up in my clinic one day with a complaint of finger swelling. So as the story went, his finger got swollen and painful about a week prior. Just got worse and worse, and about 3 days prior to coming, a hole opened up in the tip of his finger (this is where I, personally, would have noped right to the office). So come the day of the visit, he says, “By the way, I pulled something out of the hole in my finger yesterday with a pair of tweezers

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