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Ortho Hors D'oeuvres (Prompt):

Patient is a 35 year-old right-handed male presenting with the following finger laceration sustained while doing construction work one hour prior to presentation:

X-rays to rule out foreign bodies show:

Questions:

1) What is the key finding on x-ray?

2) How was this injury likely sustained?

3) What are the key next steps in history collection, physical exam, and management?

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