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[number-code of phalanx, counting 1-3 outwards from the foot].[number-code of location on the bone, with 1 being the inner end, 3 the outer, and 2 in-between]. [10] So, for instance, 88.1.2.1 means a fracture to the big toe's innermost bone, at the proximal end. [10] [11] A letter can be added to describe the fracture pattern. [11]
Gamekeeper's thumb and skier's thumb are two similar conditions, both of which involve insufficiency of the ulnar collateral ligament (UCL) of the thumb. The chief difference between these two conditions is that skier's thumb is generally considered to be an acute condition acquired after a fall or similar abduction injury to the metacarpophalangeal (MCP) joint of the thumb, whereas gamekeeper ...
The neck of a metacarpal is a common location for a boxer's fracture, but all parts of the metacarpal bone (including head, body and base) are susceptible to fracture. During their lifetime, 2.5% of individuals will experience at least one metacarpal fracture. Bennett's fracture (base of the thumb) is the most common. [4]
A collateral ligament flanks each MCP joint - one on either side. Each attaches proximally at the head of the metacarpal bone, and distally at the base of the phalynx. Each extends obliquely in a palmar direction from its proximal attachment to its distal attachment. [2]
As with any skeletal injury, an x-ray can be conducted to verify the presence of a fracture. [1] The distal phalanx is especially vulnerable to avulsion fractures, where a fragment of bone is ripped off when the tendon separates from the phalanx. [1] Avulsion fractures are especially common following a first time dislocation. [1]
The metatarsophalangeal joints (MTP joints) are the joints between the metatarsal bones of the foot and the proximal bones (proximal phalanges) of the toes.They are analogous to the knuckles of the hand, and are consequently known as toe knuckles in common speech.
The abductor digiti minimi arises from the pisiform bone, the pisohamate ligament, and the flexor retinaculum. [1]Its distal tendon ends in three slips that are inserted into the ulnopalmar margin of the proximal phalanx, the palmar plate of the metacarpophalangeal joint, and the sesamoid bone when present.
The palmar plate moves in three phases during joint flexion. First, it slides back toward the hand. Next, it is lifted away from the proximal phalanx by the A3 pulley. Last, a lip on the middle phalanx rolls into a recess on the plate. If the A3 pulley is not intact, the normal three phases of motion do not occur and instead the plate crumples. [7]