By Alan E. Freeland MD, Sheila G. Lindley
Do you know that fractures of the hand bones account for roughly one-third of all hand fractures? a few hand fractures could be severe and require surgical procedure, others may well contain manipulation or casting and splinting. For suggestions available fractures and therapy, Alan E. Freeland, MD and Sheila G. Lindley, MD from the college of Mississippi clinical heart current an exceptional factor - regardless of storm Katrina. keywords: fixation, indirect phalangeal and metacarpal fractures, intramedullary, risky metacarpal shaft fractures, trapeziometacarpal joint, corrective osteotomies, percutaneous fixation, bone grafting, open fractures, pediatric fractures
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Additional info for Hand Fractures and Dislocations
Sample text
Salter I is a transphyseal fracture with separation of the epiphysis from the metaphysis. A Salter II fracture is a transphyseal fracture that exits the metaphysis. A wedge of metaphyseal bone is attached to the epiphysis (the so-called Thurston-Holland fragment). A Salter III fracture is a transphyseal fracture that exits the epiphysis into the joint. Salter IV injuries cross the metaphysis and the epiphysis. They have been given the distinction of producing growth arrest and avascular necrosis [2,21].
Orthop Clin North Am 1990;21(2):217–43. [6] Bora FW Jr, Ignatius P, Nissenbaum M. The treatment of epiphyseal fractures in the hand. J Bone Joint Surg [Am] 1976;58:286. [7] Tickle C. Embryology. In: Gupta A, Kay SPJ, Scheker LR, editors. The growing hand: diagnosis and management of the upper extremity in children. London: Mosby; 2000. p. 25–32. [8] Reddi AH. Developmental skeletogenesis. In: Gupta A, Kay SPJ, Scheker LR, editors. The growing hand: diagnosis and management of the upper extremity in children.
31] Seymour N. Juxta-epiphysial fracture of the terminal phalanx of the finger. J Bone Joint Surg [Br] 1996;48(2):347–9. [32] Leddy JP, Packer JW. Avulsion of the profundus tendon insertion in athletes. J Hand Surg [Am] 1977;2(1):66–9. [33] Becton JL, Christian JD Jr, Goodwin HN, et al. A simplified technique for treating the complex dislocation of the index metacarpophalangeal joint. J Bone Joint Surg [Am] 1975;57(5):698–700. D. C. Davis, ChM, FRCS Department of Trauma and Orthopaedic Surgery, Queen’s Medical Centre, University Hospital, Nottingham NG7 2UH, United Kingdom Displaced fractures of the metacarpal shafts and necks can be treated with a variety of techniques, ranging from early mobilization with no attempt at fracture reduction to open reduction and internal fixation.