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In 2152, Dr. Phlox recorded the automated repair station's facsimile of Travis Mayweather's corpse exhibited signs of multiple thermal fractures on the right phalanges and metacarpus. (ENT: "Dead Stop")
In 2377, The Doctor, having downloaded his program into Seven of Nine's cybernetic matrix, warned Harry Kim that he might fracture a metacarpal hitting the wall of a Lokirrim patrol ship. (VOY: "Body and Soul")