Orthopedic Care and Consultation
Following xrays are of a foreign body in hand. The foreign body in this case is a needle which was stuck in index finger and on attempted removal got broken.
Here is the anteroposterior view of the broken needle showing needle part at level of proximal phalanx of index finger.
A Broken Needle In Proximal Phalanx Of Index Finger - AP Xray
Here is the oblique view [Read more...]
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Bennett’s fracture is intra-articular fracture of the first metacarpal base that extends into carpometacarpal joint as shown in the image below. In most of the cases this fracture is accompanied by either subluxation or dislocation of the
carpometacarpal joint.
Bennett's Fracture
Above xray belongs to 55 years old male who suffered this injury following a fall from bike. Patient
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Injury in 30 year old male. Intra-articular fracture of the second metacarpal head with comminution and fracture of first metacarpal shaftwith comminution.
Both injuries open in nature.
First metacarpal fixed with Kwire while second one fixed using a finger distractor assembly
Fracture Head Second Metacarpal With Fracture Shaft of First Metacarpal Fixred With Kwire and Finger Distractor
The anatomy in both injuries is well restored. The fracture healed and patient had almost complete range of the function.
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For treatment of flexor tendon injuries, the flexor aspect of the hand is divided into five zones
Zone I
Zone I extends from the tip of the finger to the middle of middle phalanx. Its contains only flexor digitorum profundus. [see below] Injuries in zone I would produce cut to flexor digitorum profundus only.
Tendon Zones In Flexor Aspect of Hand { Image Credit:http://odlarmed.com/wp-content/uploads/2009/04/p5f3.jpg}
Zone II
Zone II extends from the middle of the middle phalanx to distal palmar crease. It contains both flexor tendon superficialis and flexor tendon profundus. It has been called “No Man’s Land” or “No Man’s Zone” because repair in this zone is very difficult. [Read more...]
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