Hand Injuries Flashcards
important history features for hand trauma?
when it happened
nature of pain
degloving
patients energy level
structures at risk from a hand injury?
bones
nerves
tendons
what is a trephine
a hole saw used in surgery to remove a circle of tissue or bone
what should you do if a subungual haematoma’s pressure is causing severe pain?
use trephine
is a zone 1 nail injury worse than a zone 5?
no its better as it only affects the top
should you get rid of the nail if its injured or preserve it?
preserve if you can
how would you treat a zone 1/2 nail injury?
dressing
how would you treat a zone 3 injury?
repair nail bed and stabilise bone
how would you treat a zone 4 or 5 injury?
repair nail bed and stabilise bone UNLESS <5mm of nail bed is left = ablate
cause of a boxers fracture?
not punching properly
do you get any rotation in a boxers fracture?
no
does a boxers fracture occur proximally or distally?
distally
treatment for boxers fracture?
“buddy strap”
early mobilisation
what should you do to test for rotational deformity?
ask them to bend fingers
what would you find on examination of a mallet finger?
resisted finger extension
tenderness/bruising
