Management Of Hand Fractures Research Articles

The epidemiology of fractures of the hand and the influence of social deprivation

This study investigates the relationship between the epidemiology of hand fractures and social deprivation. Data were collected prospectively in a single trauma unit serving a well-defined population. The 1382 patients treated for 1569 fractures of the metacarpals or phalanges represented an incidence of hand fracture of 3.7 per 1000 per year for men and 1.3 per 1000 per year for women. Deprivation was not directly associated with the incidence of hand fracture. Common mechanisms of injury are gender specific. Fractures of the little finger metacarpal were common (27% of the total) and were associated with social deprivation in men (P = 0.017). For women, fractures where the mechanism of injury was unclear or the patient was intoxicated and could not recall the mechanism showed a clear association with deprivation. Affluent patients were more likely to receive operative treatment. Social deprivation influences both the pattern and management of hand fractures.

Hand fracture management course

The hand fracture management course is aimed at specialist registrars and specialty trainees in trauma and orthopaedics and plastic surgery. It is also aimed at core trainees who want to pursue a career in trauma and orthopaedics or plastic surgery. The course attracts participants from all over the United Kingdom, ranging from people in basic surgical training to more senior registrars. Most delegates have completed membership of the Royal College of Surgeons and have some experience in trauma and orthopaedics, plastic surgery, or both. Although not mandatory, previous completion of a basic fracture management course would be desirable because participants will have a greater appreciation of the principles taught on the hand fracture management …

Hand fractures and their management: An international view

Fractures of the bones of the hand are among the commonest fractures in humans, but their management varies widely in the different regions of the world. This variability is due to many reasons, including availability of resources, social factors, geographic constraints, surgeon preference and experience, and local practice patterns. Developing countries are more likely to apply less expensive methods of managing hand fractures. The treatment of these injuries will fall somewhere along a continuum that parallels the historical development of hand fracture management. This paper will review the history of phalangeal and metacarpal fracture management to infer global differences in the treatment of hand fractures. An overview of how different health care systems are likely to manage these injuries will assist health care providers in choosing the most appropriate treatment method.

Hand Fractures: A Study of Their Site and Type in Childhood

AIM: The purpose of the study was to document the site and type of fractures of the hand in children up to 16 years of age. MATERIALS AND METHODS: The radiographs of 280 children who were found to have a fracture in Accident and Emergency over a one-year period were reviewed. A total of 293 fractures of the hand and 3 distal interphalangeal joint dislocations without fracture were identified. There were 293 fractures as some children had more than one fracture. RESULTS: Distal tuft fractures were commonest in the 0 to 4-year age-group; fractures of distal phalanx (both transverse and tuft) in the 5 to 8-year age-group; transverse fractures of the proximal phalanx of little finger in the 9 to 12-year age-group and transverse fractures of neck of the fifth metacarpal in the 13 to 16-year age-groups. CONCLUSION: Hand fractures are more common in older children, with a male preponderance in most groups except in the 0–4 age-group. The site of injury is different in the various corresponding age-groups, reflecting the differing mechanisms of injury. The management of hand fractures rely on a correct diagnosis and a knowledge of their common site in each age-group should aid diagnosis. Rajesh, A.et al. (2001)Clinical Radiology56, 667–669.

Hand Fractures. Repair, Reconstruction, and Rehabilitation.

Alan E. Freeland. Illustrated by Michael P. Schenk. New York, Churchill Livingstone, 2000. $95.00, 289 pp. Freeland's stated purpose in writing this book was to provide his personal insights into hand-fracture management, acquired in over twenty years of experience. He is convinced that treatment decisions for hand fractures should be based on sound principles and judgment rather than on adherence to a particular technique or on loyalty to a particular implant. Freeland touches …

Fractures of the hand.

Fractures of the hand.