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An 18-year-old complained of pain and decreased mobility of the small finger in his right hand after a softballinjury. While sliding back to second base during a pickoff attempt, the patient hit his hand on the bag.

A 63-year-old woman presented with a 2-year history of bilateral hand pain and stiffness that had worsened in recent months. The pain was most severe in the fingers and was associated with morning stiffness that lasted 30 minutes. There was loss of full range of motion in some finger joints.