Physical Medicine Rehabilitation

Hand Fractures and Dislocations by Alan E. Freeland MD, Sheila G. Lindley

By Alan E. Freeland MD, Sheila G. Lindley

Do you know that fractures of the hand bones account for roughly one-third of all hand fractures? a few hand fractures might be severe and require surgical procedure, others could contain manipulation or casting and splinting. For information available fractures and remedy, Alan E. Freeland, MD and Sheila G. Lindley, MD from the college of Mississippi scientific middle current a great factor - regardless of storm Katrina. keywords: fixation, indirect phalangeal and metacarpal fractures, intramedullary, risky metacarpal shaft fractures, trapeziometacarpal joint, corrective osteotomies, percutaneous fixation, bone grafting, open fractures, pediatric fractures

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Affecting growth. Digital ray separation in the hand proceeds through apoptosis or programmed cell death. This process may be under the control of homeobox genes. Hox-d genes from 9 to 13 are positioned in the limb bud to affect sequential patterning of digits in the shaping of the hand. Failure to separate or incomplete separation Fig. 1. The embryo depicted at day 34 to 36 of development shows how rapidly and early hand formation progresses. ) 255 HAND FRACTURES & DISLOCATIONS IN CHILDREN produces syndactyly.

A fracture of the shaft of the little finger metacarpal with palmar angular displacement. This was reduced and stabilized with three Kirschner wires. Note that the tips of the wires in the metacarpal head are not rounded but sharp. This might have made their insertion more difficult by allowing the tips to catch on the rough walls of the intramedullary canal. UNSTABLE METACARPAL FRACTURES advantages over other techniques of fracture stabilization, or indeed simple early mobilization in some instances, have not been clearly demonstrated.

221–32. [28] Crick JC, Franco RS, Conners JJ. Fractures about the interphalangeal joints in children. J Orthop Trauma 1987;1(4):318–25. [29] Valencia J, Leyva F, Gomez-Bajo GJ. Pediatric hand trauma. Clin Orthop Relat Res 2005;432: 77–86. [30] Zook EG, Van Beek AL, Russell RC, et al. Anatomy and physiology of the perionychium: a review of the literature and anatomical study. J Hand Surg 1980;5: 528–36. [31] Seymour N. Juxta-epiphysial fracture of the terminal phalanx of the finger. J Bone Joint Surg [Br] 1996;48(2):347–9.

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