Hand: Fractures

Question 1

Most fractures will require this for tx

Answer 1

immobilization

Question 2

What are the fx types we covered?

Answer 2

• Colle’s
• Smith
• Scaphoid
• Keinbock’s
• Bennett’s
• Boxer’s
• Gamekeeper’s thumb

Question 3

What is a Colle’s fx?

Answer 3

• distal radial fx

- displaced dorsally

Question 4

Colle’s fx MOI

Answer 4

• FOOSH

- wrist in extension

Question 5

What is a Smith fx?

Answer 5

• distal radial fx

- volar displacement

Question 6

Smith fx MOI

Answer 6

• falling in supination

- wrist in flexion

Question 7

Major problem with a scaphoid fx

Answer 7

AVN

Question 8

When does an AVN commonly show up?

Answer 8

may have fallen a while ago and just now causing problems

Question 9

AVN with young/old people

Answer 9

• young person may be ok for a while

- older people have more hand dysfunction faster

Question 10

scaphoid fx: splinting?

Answer 10

• not necessarily

- depends on pain

Question 11

What is a Keinbock’s fx?

Answer 11

lunate fx that creates AVN issues

• or a bad enough wrist injury
• some blood supply gets interrupted

Question 12

How is a Keinbock’s fx similar to an AVN?

Answer 12

• may have happened some time ago

- bone wears down due to poor blood supply

Question 13

What is a resulting problem with a Keinbock’s fx?

Answer 13

grow dysfunction of hand and forearm

Question 14

A Bennett’s fx affects

Answer 14

CMC of the thumb

Question 15

How does a Bennett’s fx typically happen?

Answer 15

• dislocates

- forces go through thumb

Question 16

Boxer’s fx typically occurs here

Answer 16

4th and 5th metacarpals

Question 17

How does a Boxer’s fx occur?

Answer 17

• clenched fist against an immovable object

- i.e. punching a wall or face

Question 18

Where are Boxer’s fx commonly seen?

Answer 18

military populations

Question 19

tx for Boxer’s fx

Answer 19

depends on how bad it is

• immobilization
• casting

Question 20

What is ruptured with a Gamekeeper’s thumb?

Answer 20

UCL