posted 10/24/10 in Hand Fractures
In general, fractures of the phalanges (proximal-P-1, middle-P-2, and distal-P-3) can be treated nonoperatively. If angulation, displacement or malrotation require reduction, I will often do this under local anesthesia--and at times provisionally stabilize the fracture with removeable pins. Occasionally, more rigid fixation is adviseable to allow early motion at the PIP...
posted 6/1/07 in Hand Fractures
When you sustain a PIP joint dislocation, the volar rim of the middle phalanx--P-2--may fracture. If it is a small percentage of the bone, on the lateral xray, early range of motion with the use of a splint to limit extension, may be an option----since the collateral ligaments are still...
posted 6/1/07 in Hand Fractures
When you sustain a PIP joint dislocation, the volar rim of the middle phalanx--P-2--may fracture. If it is a small percentage of the bone, on the lateral xray, early range of motion with the use of a splint to limit extension, may be an option----since the collateral ligaments are still...
posted 6/1/07 in Hand Fractures
When the base of the middle phalanx--P-2--is fractured via a compression type injury, a "pilon" fracture results. The joint surface typically becomes comminuted, but in most cases the ligaments are in tact, and the joint is stable. If the fragments are of sufficient size to allow fixation with small pins...
posted 4/24/07 in Hand Fractures
Fractures of the Hand's metacarpals can be treated by a variety of techniques, including nonoperative use of a cast or splint-- when nondisplaced-- or with the use of pins and/or plates and screws when the fracture is not adequately aligned.When surgery is required,low profile plates and aggressive therapy after surgery...
