The patient is a 64 year old RHD male who fell onto his outstretched left hand while ice skating. He had immediate deformity and pain and presented to an ER for evaluation. Neuorlogic and vascular exams were normal. The following x-rays were obtained.

PA and lateral plain films

(1) What is your diagnosis?

(2) Do you need any additional studies?

(3) What are the treatment options? Which one would you suggest?

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