Hand and finger fractures: Difference between revisions
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[[File:Hand bones.svg|thumb|Hand bones]] | [[File:Hand bones.svg|thumb|Hand bones]] | ||
==Background== | |||
{{Hand and finger fractures DDX}} | |||
== | ==Clinical Features== | ||
*History of trauma | |||
*Pain over fracture site | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Hand and finger injury DDX}} | {{Hand and finger injury DDX}} | ||
==Management== | ==Evaluation== | ||
===Workup=== | |||
*XR hand and/or finger(s) | |||
*Consider need for more proximal or distal plain films | |||
===Diagnosis=== | |||
<gallery mode="packed"> | |||
File:Tufts_fracture.jpg|[[Finger (phalanx) fracture]] | |||
File:Neck Fracture of the Fourth Metacarpal Bone.png|[[Non-thumb metacarpal fractures]] | |||
File:Bennetts Fracture.jpg|[[Thumb fracture]] | |||
</gallery> | |||
==Management & Disposition== | |||
{{Hand Fracture Management Chart}} | {{Hand Fracture Management Chart}} | ||
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*[[Fractures (Main)]] | *[[Fractures (Main)]] | ||
*[[Hand Diagnoses (Main)]] | *[[Hand Diagnoses (Main)]] | ||
*[[Splinting]] | |||
==External Links== | |||
==References== | ==References== | ||
<references/> | <references/> | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Latest revision as of 22:37, 22 March 2023
Background
Hand and Finger Fracture Types
Clinical Features
- History of trauma
- Pain over fracture site
Differential Diagnosis
Hand and finger injuries
- Distal finger
- Other finger/thumb
- Boutonniere deformity
- Mallet finger
- Jammed finger
- Jersey finger
- Trigger finger
- Ring avulsion injury
- De Quervain tenosynovitis
- Infiltrative tenosynovitis
- Metacarpophalangeal ulnar ligament rupture (Gamekeeper's thumb)
- Hand
- Wrist
- Drummer's wrist
- Ganglion cyst
- Lunotriquetral ligament instability
- Scaphoid fracture
- Extensor digitorum tenosynovitis
- Compressive neuropathy ("bracelet syndrome")
- Intersection syndrome
- Snapping Extensor Carpi Ulnaris
- Vaughn Jackson syndrome
- General
Evaluation
Workup
- XR hand and/or finger(s)
- Consider need for more proximal or distal plain films
Diagnosis
Management & Disposition
Hand Fracture Management Chart
| Fracture | Splint | Disposition |
| Flexor tendon injury | Finger Splint | hand specialist referral |
| Extensor tendon injury | Poss ED repair + Finger Splint | hand specialist referral |
| Mallet finger | Finger Splint to DIP (DIP in slight hyperextension) | |
| Metacarpophalangeal ulnar ligament rupture (Gamekeeper's thumb) | Thumb Spica Splint | |
| Scaphoid fracture | Thumb Spica Splint | |
| Carpal fracture | Volar Splint | |
| Bennet's fracture (intrarticular fracture at base of 1st MCP) | Thumb Spica Splint | |
| Rolando's fracture (comminuted base of 1st MCP) | Thumb Spica Splint | |
| Boxer's fracture | Ulnar Gutter Splint | |
| 4th and 5th MCP fracture | Ulnar Gutter Splint | |
| 2nd and 3rd MCP fracture | Radial Gutter Splint | |
| Finger (Phalanx) Fracture | Finger Splint or Buddy Tape |