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INTRODUCTION. Primary care of hand fractures involves accurate diagnosis, pain control, reduction as indicated, immobilization of the fracture, appropriate referral to a hand surgeon, and suitable rehabilitation. This topic provides an overview of the initial evaluation, identification, and management of finger, hand, and wrist (carpal) fractures.


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Diagnosis Treatment Finger fractures come in many shapes and sizes. Most finger fractures have simple treatments, while others may require surgical treatment. What is most important is that finger fractures are appropriately diagnosed so the best treatment plan can be initiated.


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Fractures and dislocations of the finger are generally the result of external force, such as an occupational or sports injury or a fight. Less common endogenous causes of spontaneous fractures are bone tumors, such as enchondromas.


Hand Fractures OrthoInfo AAOS

Diagnosis Home Care Treatment Surgery Healing Time Prevention What to Know About a Broken Finger Broken fingers are one of the most common injuries. Fingers are easily injured from everyday activities, and finger injuries are some of the most common traumatic injuries seen in an emergency room.


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Finger x-rays are indicated for a variety of settings including: fractures dislocations foreign body localization scleroderma erosive arthritis traumatic injuries avulsion fractures Projections Standard projection PA view typically performed with adjacent fingers in the field of view to ascertain what finger is being imaged


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Finger injuries visible on X-ray include bone fractures, dislocations and avulsions The hand comprises the metacarpal and phalangeal bones. Fractures and dislocations are usually straightforward to identify, so long as the potentially injured bone is fully visible in 2 planes.


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Pathology Phalanx fractures can be intra or extra-articular and can occur at the base, neck, shaft or head of the phalanx. They often result from direct trauma to the finger (e.g. during ball sports). Crush injuries to the distal phalanx are also common and can result in nail trauma and open fractures.


Broken Index Finger X Ray

It is characterized by an inability to extend the finger at the distal interphalangeal (DIP) joint. There is slight flexion at this joint, which is where the term "mallet" comes from - the finger position resembles a mallet (for example, a piano key mallet).


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The most common hand fracture is a fracture of the fifth metacarpal — the bone in the hand that supports the little finger. This is commonly called a "boxer's fracture" and involves the "neck" of the bone, next to the knuckle joint. A boxer's fracture is caused most often by punching or striking a hard object when your hand is closed in a fist.


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X-ray is the primary tool used to diagnose a broken finger. The doctor will need an X-ray to evaluate the position of the broken finger bones. With more complex injuries, the doctor may seek the advice of an orthopedic (bone and joint specialist) or hand surgeon (an orthopedic surgeon or plastic surgeon with post-residency, fellowship level training in hand surgery ).


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An X-ray should be ordered, as mallet finger can occur with an avulsion fracture. Surgery is required when an avulsion fracture involves more than 30% of the articular surface or if there is joint subluxation. Otherwise, mallet finger deformity responds well to conservative management.


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An x-ray is able to easily show a broken bone or fracture, because this break in the bone allows the x-ray beams through, and will show as a black line on the image.. If you are experiencing any of the following issues, your doctor may order a hand x-ray. Swelling or bruising in the fingers or hand; Finger pain or discomfort;


Hand Fractures OrthoInfo AAOS

Radiology Standard wrist-series X-ray useful to rule out underlying fracture or masses Differentials Chronic carpal tunnel syndrome Ulna tunnel syndrome Cervical radiculopathy Forearm or hand compartment syndrome


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This x-ray of a mallet finger shows a broken finger, where a piece of the bone has been broken off. Figure 4. A splint supporting the finger tip after a mallet finger injury.. Injuries with even a little swelling or bruising may have a fracture. X-rays or ultrasound images can be used to show if there is a fracture causing the finger.


Broken Finger X Ray

Finger - Tuft fracture. Tuft and crush fractures are often associated with nail bed soft tissue injuries in which case should be considered as open fractures. Fractures of the fingers as described on X-ray. Intra-articular fracture of the finger bones - Salter-Harris finger injuries - crush fractures and phalangeal tuft fractures as seen on X-ray.


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Your provider will use X-rays to diagnose finger fractures. Treatments usually include splints or surgery, for more severe fractures. Broken fingers generally heal well after treatment and rehabilitation. Contents Overview Symptoms and Causes Diagnosis and Tests Management and Treatment Prevention Outlook / Prognosis Living With Overview