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Published byNorman Robertson Modified over 9 years ago
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Paediatric Hand Injuries Dr Brigid Corrigan Plastic Surgery Registrar
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Assessment Vascular supply Nerve Fuction: Sensory and Motor Tendons Bone Soft Tissue Cover Remove Jewellery!
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Hand Fractures Open vs Closed Open: Risk of osteomyelitis –Early thorough washout/debridement –Antibiotic prophylaxis –Definitive Fixation
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Hand Fractures Closed Fractures: Assessment –? Displaced on xray –Clinical deformity – angulation, displacement –?Neurovascular compromise Management –Reduction +/- fixation –Immobilisation –Rehabilitation
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Hand Fractures
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Foreign Bodies
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Nail Bed Injuries
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Flexor tendon Injuries Zones of Injury Repair: Strength vs glide Post op: splinting, physiotherapy
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Extensor Tendon Injuries Assessment Repair Post op splinting/phsiotherapy Mallet Finger Injury Boutonniere deformity
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Nerve Injuries Anatomy: Median/ulnar/radial Digital nerves Nerve repair Nerve recovery: 1mm/day Post op splinting
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Replantation
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