12.8 Hand Fracture

Question 1

Explain the complication of scaphoid fractures, including blood supply, healing, and secondary issues

Answer 1

• Scaphoid is at risk of vascular necrosis
• May not heal properly either
• Plus, incorrect healing can lead to downstream odd transmission through hand, and cause 2° osteoarthritis

Question 2

What are 2 common ways of treating scaphoid fractures?

Answer 2

• Casting & immobilisation
• Surgical fixation with screw

Question 3

What is a mallet finger fracture? How do we treat it?

Answer 3

• Extensor tendon avulsion fracture of the phalanx
• Treated with a splint for 6 wks

Question 4

What does subluxation mean?

Answer 4

Partial dislocation.