Intra-Articular Fractures of the Hand

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Intra-Articular Fractures of the Hand Nikhil Oak, MD, Jeffrey N. Lawton, MD Hand Clinics Volume 29, Issue 4, Pages 535-549 (November 2013) DOI: 10.1016/j.hcl.2013.08.007 Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 1 Kjaer-Peterson13 metacarpal base fracture classification. Hand Clinics 2013 29, 535-549DOI: (10.1016/j.hcl.2013.08.007) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 2 Bennett fracture. Hand Clinics 2013 29, 535-549DOI: (10.1016/j.hcl.2013.08.007) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 3 ORIF of Bennett fracture. Hand Clinics 2013 29, 535-549DOI: (10.1016/j.hcl.2013.08.007) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 4 Intra-articular metacarpal head fracture: injury PA and oblique views of small metacarpal head fracture. (A) Injury PA and oblique views of small metacarpal head fracture. (B) Articular surface after reduction and internal fixation. (C) Follow-up films. (D) Final range of motion. Hand Clinics 2013 29, 535-549DOI: (10.1016/j.hcl.2013.08.007) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 5 Intra-articular proximal phalanx fracture. Hand Clinics 2013 29, 535-549DOI: (10.1016/j.hcl.2013.08.007) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 6 Dynamic external fixation. (A) AP and lateral radiographs. (B) Postoperative image with dynamic external fixator in place. Hand Clinics 2013 29, 535-549DOI: (10.1016/j.hcl.2013.08.007) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 7 Shotgun volar approach to PIP joint of a left small finger: (A) digital neurovascular bundles shown with dotted lines; (B) volar plate elevated and grasped in pickups; (C) articular surfaces of proximal phalanx (above) and middle phalanx (below) showing depressed portion of middle phalangeal base articular surface. Hand Clinics 2013 29, 535-549DOI: (10.1016/j.hcl.2013.08.007) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 8 Cerclage wire ORIF of intra-articular middle phalanx base fracture. (A) Intraoperative image showing fracture reduction with cerclage wire. (B) AP and lateral postoperative radiographs. Hand Clinics 2013 29, 535-549DOI: (10.1016/j.hcl.2013.08.007) Copyright © 2013 Elsevier Inc. Terms and Conditions

Fig. 9 Hemihamate autograft technique. (A) Incision for hamate autograft harvest. (B) Hamate autograft. (C) Hamate autograft restoring volar aspect of middle phalanx secured with two 1.2-mm screws. (D) Postoperative AP and lateral radiographs showing restoration of articular surface–middle phalangeal base to left side of image with proximal phalangeal head to right. (E) Clinical images at final follow-up. Hand Clinics 2013 29, 535-549DOI: (10.1016/j.hcl.2013.08.007) Copyright © 2013 Elsevier Inc. Terms and Conditions