This is a sample of the stupid stuff that goes in people's charts. This doctor says the same thing no matter where the patient has been injured.
The patient is a 15-year-old otherwise healthy right hand dominant male who incurred the above-mentioned injury after punching another schoolmate or person in the head with his right fist. There was no head trauma or loss of consciousness.
Either way you take it, the doctor is an idiot, and he's a plastic surgeon.
That is all. Disperse.