![]() This bone is broken in many small fragments and very unstable. and metacarpal V corresponds to the bone of the little finger, or pinky. A severe fracture of the proximal phalanx of the small finger. 70 of these occur in people 11 to 45 years old. Open fractures need urgent evaluation and treatment with tetanus prophylaxis and antibiotic therapy. A metacarpal fracture is a type of hand fracture occurring in the bones which. Thats how they got the name the Boxers Fracture, which is most commonly a fracture of the 5th metacarpal (your pinky finger). It involves Kirchner wires by percutaneous pinning or open reduction, or very small screws and plates. Comminuted fractures are difficult to treat and need wires in traction. Surgical treatment of displaced proximal phalanx fracture after reduction is common because of instability and rotation trouble. It can be used for non-displaced fractures and for displaced fractures after orthopedic reduction and testing of stability. After that tape can be used if there is still some pain.įor proximal fractures, the splint needs to be longer and immobilize the metacarpophalangeal joint and the wrist. Conservative treatment with splints is used for non-displaced fractures immobilizing the proximal and distal interphalangeal joints (but not the metacarpophalangeal). Non-operative treatment is generally the choice of treatment for fractures of the distal phalanx because of the small size. Treatment and prognosis Non-operative management Immobilization of fingers much beyond 4 weeks will lead to long-term stiffness due to extensor tendon and joint capsular scarring. It is possible to diagnose phalanx fractures with sonography using a linear probe, although it is not the first line (patient discomfort, difficult to read, hard to determine displacement). However, when radiography is unsure about the diagnosis, it is a potentially useful tool. ![]() Accurate diagnosis of finger injuries can often be difficult, given the. Although many injuries can be managed conservatively, some require more invasive interventions to prevent complications and loss of function. Imaging plays an important role in diagnosis and in directing management of these injuries. The plain radiographic investigation of the fingers involves three projections (AP oblique and lateral). Traumatic finger injuries account for a substantial number of emergency visits every year. Case reports 561 of rupture of these structures, the bone appeared to be weaker leading to a spiral fracture of the proximal phalanx. Unstable displaced spiral fracture of the proximal phalanx of the index finger (Case I). In an avulsion fracture, your bone moves one way and your tendon or ligament moves in the opposite direction with a. ![]() Ligaments hold your bones, joints and organs in place while tendons connect muscles and bones. during ball sports). Crush injuries to the distal phalanx are also common and can result in nail trauma and open fractures.įracture-dislocations are possible when the fracture extends to the articular surface of the phalanx. Illustration of the finger wrestling game. An avulsion fracture is where a small piece of bone attached to a tendon or ligament gets pulled away from the main part of the bone. They often result from direct trauma to the finger (e.g. Phalanx fractures can be intra or extra-articular and can occur at the base, neck, shaft or head of the phalanx. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |