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In medicine a Busch fracture [1] is a type of fracture of the base of the distal phalanx of the fingers, produced by the removal of the bone insertion of the extensor tendon. Without the appropriate treatment, the finger becomes a hammer finger. It would correspond to the group B of the Albertoni classification. [2]
Extensive tendons surround the joints and move the fingers. On the front and back of each finger is a digital nerve and artery; these can also be injured when the finger is broken. [1] The AO Foundation/Orthopaedic Trauma Association (AO/OTA) classification generates language-neutral numeric codes for describing broken fingers. They run 78 ...
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]
A mallet finger, also known as hammer finger or PLF finger or Hannan finger, is an extensor tendon injury at the farthest away finger joint. [2] This results in the inability to extend the finger tip without pushing it. [3] There is generally pain and bruising at the back side of the farthest away finger joint. [3]
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.
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Since bone healing is a natural process that will occur most often, fracture treatment aims to ensure the best possible function of the injured part after healing. Bone fractures typically are treated by restoring the fractured pieces of bone to their natural positions (if necessary), and maintaining those positions while the bone heals.
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] They occur more commonly in males than females. [4] Both short and long term outcomes are generally good. [4]