hand injuries

Question 1

what is the treatment of a subungual haematoma?

Answer 1

trephine- pierce nail to release pressure

Question 2

what are the 5 types of nail bed injuries?

Answer 2

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 DIPj

Question 3

what is a boxer’s fracture?

Answer 3

fracture of the neck of the 5th finger metacarpal

Question 4

what is the treatment for a boxer’s fracture?

Answer 4

buddy strap - strapping 4th and 5th fingers together

Question 5

what is mallet finger?

Answer 5

permanently flexed DIPJ caused by fracture (e.g. avulsion fracture) or soft tissue damage

Question 6

what is the treatment for mallet finger?

Answer 6

mallet splint for 6 weeks
wire can be used for large displaced avulsion

Question 7

what is a bennett’s fracture?

Answer 7

fracture + dislocation of metacarpal at the base of the thumb