Operative Treatment of Common Displaced and Unstable Fractures of the Hand by Alan E. Freeland, William B. Geissler, and Arnold-Peter C. Weiss J Bone Joint.

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Presentation transcript:

Operative Treatment of Common Displaced and Unstable Fractures of the Hand by Alan E. Freeland, William B. Geissler, and Arnold-Peter C. Weiss J Bone Joint Surg Am Volume 83(6): June 1, 2001 ©2001 by The Journal of Bone and Joint Surgery, Inc.

Dorsal approach to the proximal phalanx. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

Mid-axial approach to the proximal phalanx. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

Approaches to the metacarpals. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

A fifty-one-year-old right-handed patient who worked on an assembly line had weakness, cramping, and loss of endurance in the right hand. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

An adolescent boy who had severely displaced transverse fractures of the second and third metacarpals.A and B: Preoperativea nteroposterior and oblique radiographs. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

An adult patient who had a transverse fracture in the middle of the fifth metacarpal shaft that was irreducible by closed manipulation. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

A: A malrotated irreducible spiral oblique fracture of the third metacarpal. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

A: Preoperative radiograph showing a closed, unstable comminuted subcapital fracture of the second metacarpal. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

A: Preoperative radiograph showing open, displaced, highly unstable fractures of the third, fourth, and fifth metacarpals and a closed extra-articular fracture of the base of the proximal phalanx of the index finger (arrow). Alan E. Freeland et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

A andB: Preoperative anteroposterior and lateral radiographs of a closed displaced transverse fracture of the shaft of the proximal phalanx of the right ring finger. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

A: Preoperative radiograph of a displaced uniplanar oblique fracture of the proximal phalanx of the thumb. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

A: Radiograph showing a slightly displaced unicondylar fracture of the proximal phalanx of the thumb. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

A: Preoperative radiograph of a displaced Bennett fracture. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

A: Oblique radiograph of a closed, displaced transverse subcondylar fracture of the proximal phalanx of the thumb and a closed Rolando fracture. Alan E. Freeland et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.

A: A comminuted subcapital fracture of the fifth metacarpal was inadequately stabilized with a circumferential malleable wire, resulting in a painful nonunion (arrowhead). Alan E. Freeland et al. J Bone Joint Surg Am 2001;83: ©2001 by The Journal of Bone and Joint Surgery, Inc.