hand injuries Flashcards
what is this?
subungual haematoma
what treatment can be done if the subungual haematoma is causing pain?
a trephine may be used (a small hole is pierced in the thick collagen of nail plate allowing haemotoma to drain, releasing pressure and pain)
how may nail/nail bed injuries be measured?
Type 1-type 5
Type 1= soft tissue only Type 2= soft tissue + nail Type 3= soft tissue + nail + bone Type 4= Proximal 1/3 of phalanx Type 5= proximal to DIP joint
how may nail/nail bed injuries be measured?
Type 1-type 5
Type 1= soft tissue only Type 2= soft tissue + nail Type 3= soft tissue + nail + bone Type 4= Proximal 1/3 of phalanx Type 5= proximal to DIP joint
what is a boxers fracture in the hands?
a fracture to the neck of the little finger metacarpal with minimal displacement and it is really unusual to see rotation
what is the treatment for boxers fracture?
early mobilisation!
‘buddy strap’
what is mallet finger?
a flexion deformity of the DIP joint which may be due to soft tissue or fracture
management of mallet finger?
- mallet splint worn 24/7 (even in shower!)
- if larged displaced avulsion fracture may need fixed with wire
when does PIP joint dislocation usually occur?
-sport injury
what is the treatment to PIP joint dislocation?
- pull to reduce
- buddy strap
- Xray to check its reduced properly
can you reduce a dislocated PIP joint that has been left for a while?
no
what are Bennett’s fractures?
fractures that occur at the base of the thumb
what is standard treatment for burns?
- respiratory
- infection
- dehydration
- pain relief
what is eschar?
thick, leathery, inelastic skin which can form after burns. This may require surgical release to allow movement
