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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9233966 | PMC |
| http://dx.doi.org/10.5847/wjem.j.1920-8642.2022.063 | DOI Listing |
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The Rule of Fours-Clinical and Radiographic Parameters for Trans-articular Distal Interphalangeal Joint Kirschner Wire Insertion.
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Department of Orthopaedic Surgery, Gold Coast University Hospital, Queensland, Australia.
Article Synopsis
- Distal phalangeal and interphalangeal joint injuries are common and can create significant challenges for individuals and healthcare systems, often requiring K-wire fixation to maintain alignment.
- This study aimed to identify soft tissue and radiographic landmarks for optimal K-wire placement at the distal interphalangeal joint (DIPJ) through a retrospective analysis of 100 lateral phalangeal radiographs.
- Results indicated a 'rule of fours' for ideal entry points during K-wire insertion, suggesting that the entry should be 4 mm from the nail plate's dorsal surface and 40% volar to the soft tissue at the DIPJ crease, enhancing safety and effectiveness without fluoroscopy.
Finger Sprains, Ultrasound Anatomy, and Pathology of Finger Ligaments.
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Service d'imagerie médicale, CHU de Toulouse-Purpan, Bâtiment Pierre Paul Riquet, Place du Docteur Baylac, Toulouse, France.
The joints of the fingers play an important role in prehension. They must accomplish both great mobility in the sagittal plane to allow the fingers to roll up and great stability to ensure the grip is both precise and firm. The collateral ligaments and palmar plates are the main passive stabilizing structures between the interphalangeal (IP) and metacarpophalangeal (MCP) joints.
View Article and Find Full Text PDFStreamlining the Management of Children With Simple Hand Injuries.
Plast Surg (Oakv)
April 2024
Division of Plastic Surgery, University of Ottawa, Ottawa, Ontario, Canada.
Hand injuries are common in children. Most simple pediatric hand fractures do not require surgery and can be treated with protective immobilization, yielding good outcomes. A recent institutional audit revealed significant practice variation in managing these children with many being overtreated with unnecessary follow-up visits.
View Article and Find Full Text PDFPaediatric Hand Fractures - A Review.
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Department of Orthopaedics and Trauma, National Trauma Center, Kathmandu, Nepal.
Paediatric hand fractures account for approximately 25% of hand-related emergency department visits, making them the second most common childhood fractures after distal forearm fractures. These injuries are more prevalent in boys and peak ages between 9 and 14 years. Hand fractures in children are primarily caused by crushing injuries and, increasingly in older children, by sports-related activities.
View Article and Find Full Text PDF[The Seymour fracture - a fracture that easily can be missed].
Lakartidningen
September 2024
med dr, biträdande överläkare, VO ortopedi och handkirurgi, Akademiska sjukhuset, Uppsala.
Article Synopsis
- The Seymour fracture is a type of injury in kids that affects the growth plate in the distal phalanx and usually comes with a nail bed injury, leading to trouble extending the finger joint fully.
- If not treated properly, this fracture can lead to serious complications like infections, deformities, or growth problems.
- Effective treatment involves giving antibiotics early, realigning the fracture, and repairing the nail bed to ensure the best healing outcome.
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