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For most fractures with less than 70 degrees of angulation, buddy taping and a tensor bandage resulted in similar outcomes to reduction with splinting. [4] In those with more than 70 degrees of angulation or in which the broken finger is rotated, reduction and splinting may be recommended. [3] They represent about a fifth of hand fractures. [4]
A jammed finger (a trauma from a blow on the end of the finger) is often caused by trying to catch a ball and may break the finger. Misusing tools, especially power tools, [2] can also break fingers. [2] Occasionally, an infection or tumour can cause a broken finger; [1] this is called a pathological fracture.
Fractures of the fingers occur when the finger or hands hit a solid object. Fractures are most common at the base of the little finger (boxer's fracture). Nerve injuries occur as a result of trauma, compression or over-stretching. Nerves send impulses to the brain about sensation and also play an important role in finger movement.
Fractures are instances where the bone's structural integrity has been compromised. [20] If a jammed finger produces a fracture, pain will be greatest at the bone as opposed to the joint. [2] There may also be visual deformation of the bone itself. [6] As with any skeletal injury, an x-ray can be conducted to verify the presence of a fracture. [1]
[1] [2] If sharp pain occurs along the distal radius (top of the forearm, about an inch below the wrist), de Quervain syndrome is likely. While a positive Finkelstein test is often considered pathognomonic for de Quervain syndrome, the maneuver can also cause some pain in those with osteoarthritis at the base of the thumb. [2]
Most gamekeeper's thumb injuries are treated by simply immobilizing the joint in a thumb spica splint or a modified wrist splint and allowing the ligament to heal. However, near total or total tears of the UCL may require surgery to achieve a satisfactory repair, especially if accompanied by a Stener lesion.
Fractures in the proximal third have a high incidence of AVN (~30%) Waist fractures in the middle third is the most frequent fracture site and has moderate risk of AVN. Fractures in the distal third are rarely complicated by AVN. Non union can also occur from undiagnosed or undertreated scaphoid fractures. Arterial flow to the scaphoid enters ...
The Rolando fracture is a type of broken finger involving the base of the thumb. [1] It is an intra-articular fracture. [2] It was first described in 1910 by Silvio Rolando. [3] It is typically T- or Y-shaped. [4]