This is run by a specialist anaesthetist who will gather information and request investigations that are required for safe anaesthesia. If required we will also arrange for a bulk billed pre-admission clinic at the hospital. In most cases we will refer you to a hand therapist to manage the swelling and fit a thermoplastic custom brace which will also be required after surgery. Depending on the extent of injury and procedure theses surgeries are carried out as day cases or with one over night stay. Fixation has to be stable to allow for early active range of motion exercises in order to prevent scarring of surrounding tendons. In other cases open reduction and internal fixation with plate and screws is an option. Where possible fractures can be stabilised using a configuration of wires that are inserted into to the bone under live radiography via small skin incisions. It is therefore a key principal in hand surgery to inclusions at a minimum. These are delicate structures inside a sheath that facilitates glide which is required for finger motion. Hand and finger bones are surrounded by tendons, flexor tendons in the palm and extensor tendons at the back of hand and fingers. However where a fracture is grossly unstable or a joint surface is involved, surgical fixation is recommended. A certain degree of displacement can be tolerated for non operative management as a normal hand function will be restored. Where hand fractures a simple and undisplaced cast immobilisation for four weeks will suffice. What is the treatment for hand fractures? In complex cases with multiple fractures or joints being involved CT scan can give a detailed picture. If there is suspicion of a concomitant soft tissue injury, i.e. X-ray is the most common tool to confirm the diagnosis of hand fracture. The finger bones (proximal, middle and distal phalanx) are commonly subject to work related injuries, i.e. Who gets a hand fracture?įractures of metacarpal and phalangeal bones can happen in simple falls but they are also often the result of punch injuries, i.e pub fight. Therefore restriction of motion in individual joints close to a fractured hand bone is common. There are plenty of joints in between all these bones and fractures are often close to them. What are the symptoms of hand fractures?Ī painful swelling, deformity or loss of a knuckle are signs of hand fracture which can involve metacarpal or phalangeal bones. That makes a total of 19 bones that could suffer from a fracture during a trauma. Hand and fingers are made of a series of five metacarpal bones in the midhand, two phalangeal bones in the thumb and three phalangeal bones in each of the four fingers. I have a painful hand after a fall or a punch
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