Conversation: The conversation between human and AI assistant.
[|Human|] I got punched a wall about 36 hours ago. I went to the about 12 hours ago, and they said they saw no fracture and it was likely a contusion. My hand is more swollen now than it was, and my fingers are turning black, could there be a fracture that wasn t seen or is it just a bruise?
[|AI|]  Hello, Usually when walls are punched the 5th metacarpal breaks (the bone in your hand right before your pinky, also called a boxers fracture).  If you have this you will find that is really painful if you squeeze your hand right under your pinky knuckle.  Its possible they could have missed this on X-ray. If it doesn't get better within the next week I would have them take repeat X-rays, because sometimes repeat X-rays can show the fracture once it matures more. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.