Types and Treatment of Hand Injury:
This is the fourth most common carpal bone fractures (after scaphoid, capitate and lunate).
Mechanism of Injury
- Direct blow
- Fall on an outstretched hand
- Avulsion or chip fractures
Types of Hand Fracture
These are divided into two types:
- Body fractures
- Peripheral chip or avulsion fractures
Clinical Features
Investigations
Plain X-ray of the wrist (AP, lateral or oblique views) may reveal the fracture. If still in doubt, CT scan is recommended.
Treatment
Body Fractures
- If undisplaced, it is treated by short arm cast for 4 to 6 weeks.
- If displaced (> 1-2 mm), surgery is the treatment of choice namely:
- Arthroscopic approach and percutaneus pinning.
- Open reduction and internal fixation through K-wires or screws.
Chip or Avulsion Fractures
Symptomatic treatment by orthotics in most of the cases helps and rarely may be required in intractable cases.
If you are in Pain and Suffering from Hand Disorder then Visit now at Active Physical Therapy. Please do not hesitate to contact us, we are dedicated to providing the best physical therapy service in Maryland. Call at: 301-877-2323