Hand and finger fractures: Difference between revisions
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{{Hand and finger injury DDX}} | {{Hand and finger injury DDX}} | ||
==Management== | ==Management & Disposition== | ||
{{Hand Fracture Management Chart}} | {{Hand Fracture Management Chart}} | ||
Revision as of 17:42, 22 March 2023
Types
Hand and Finger Fracture Types
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
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 |