Hand Injury : Fractures

The hand is a complex structure, frequently the source of sports, work, or recreation-related injuries. Refer to hand injury: (general), for a broader discussion of hand injuries. A hand fracture refers to a break in one of the metacarpal bones of the hand. These 5 bones, located between the wrist and fingers, are the primary support structure of the hand. The most likely way for a fracture of this type to
occur is demonstrated in the person who "punches a wall," putting force directly on the metacarpal bones. This common injury, known as "boxer's fracture," results in a fracture of metacarpal #5 (the bone in the hand just above the little finger). Common symptoms include swelling and pain to the hand. A bluish discoloration may be seen on the palm (hematoma). There is point tenderness over the #5 metacarpal. One may also notice the absence of the "knuckle" when making a fist. Evaluation will include examination for tenderness to palpation and the presence of deformity, indicating a fracture. Bone x-rays will be necessary. Attention must be paid to the patient's ability to move each finger, feeling, and blood flow. In the normal unfractured hand, when the hand is closed [with the palm up], the fingers should naturally point toward the thumb side of the wrist. In the case of severely displaced metacarpal fractures, one will see one finger "trailing off" in the wrong direction (usually #5). This strongly indicates the need for surgery to repair the fracture site so normal functionality can be restored to the hand. An Orthopaedic Surgeon will perform this type of surgery--often within several days after the fracture. Ice packs, elevation, rest, and splint immobilization is the mainstay of treatment.Acetaminophen, aspirin, or anti-inflammatory agents (ibuprofen) can help reduce pain. Your doctor will provide stronger pain medications, if needed.Uncomplicated hand fractures can be managed by a trained emergency physician,

12 Hip Dislocation
12 Hip Fracture
12 Insect Stings and Spider Bites
12 Human and Animal Bites
12 Shoulder Injury Fracture
12 Toxic Inhalations and Carbon Monoxide Poisoning
12 Facial Injury Jaw Fracture and Dislocation
12 Kidney Injury
12 Knee Injury General Considerations
12 Knee Injury Contusion
12 Knee Injury Fracture
12 Knee Injury Sprain
12 Stab Wounds
12 Leg Injury Fractures and Contusions
12 Leg Injury Shin Splints
12 Lightning Injury
12 Oral and Tongue Injuries
12 Nasal Fracture or Contusion
12 Neck Injury General Considerations
12 Neck Injury Fracture
12 Neck Injury Spinal Cord Injury
12 Pelvic Bone Fracture
12 Puncture Wounds
12 Chest Injury Rib Fracture
12 Back Injury Sacrococcygeal Injury
12 Scorpion Bites
12 Abrasion Injuries
12 Shoulder Injury Clavicle Fracture
12 Shoulder Injury Strains and Sprains
12 Snakebite
12 Neck Injury Spinal Cord Injury
12 Abdominal Injury Ruptured Spleen
12 Foot Injury Toe Fracture and Sprain
12 Vaginal or Vulvar Injury
12 Drowning and Near Drowning


Abdominal Injury
Abdominal Injury: Contusion
Animal Bites
Ankle Fracture
Ankle Injury
Ankle Injury: Contusion
Ankle Sprain
Back Injury
Back Injury : Sacrococcygeal Injury
Back Strain
Carbon Monoxide Poisoning
Chemical Burns
Chest Injuries
Chest Injury: Aortic Rupture
Chest Injury: Hemothorax
Chest Injury: Myocardial Contusion
Chest Injury : Pneumothorax
Chest Injury: Pulmonary Contusion
Chronic Back Pain
Clavicle Fracture
Compression Fractures
Decompression Sickness
Disc Disease
Gunshot Wounds
Hand Injury: Fingertip Amputations
Head Injury
Liver Injury
Marine Stings
Muscle Strains
Rib Fracture
Ruptured Spleen
Shoulder Injury: A-C Separation
Spider Bites
Spinal Cord Injury
Sternum Fracture
Testicular Injury
Wrist Injury
hi Scuba Related Injuries
i Hand Injury Finger Amputaion
de Lecerations
de Cold Injury and Hypothermia
dd Dental Injury
xs Facial Injury
sdf Neck Injury
e Shoulder Injury Dislocation
e Ear Injury
ed Elbow Injury
de Elbow Injury Fracture
dfe Elbow Injury Nursemaids
ee Electrical Injury
de Eye Injury
ed Facial Injury General Considerations
fr Facial Injury Contusion
ed Hand Injury Finger Sprains
ded Fingernail and Toenail Injuries
dd Hand Injury Fractures
23 Head Injury Skull Fracture and Concussion
44 Chest Injury Myocardial Contusion
fde Heat Illness
ed Hest Injury Hemothorax
y Back Injury Disc Disease
;l High Altitude Illness

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