Fracture of the finger

At the present time, fracture of the finger occurs quite often. It can occur due to direct direct injury. To this injury include a stroke, the impact of various moving mechanisms, the fall of a heavy object and so on. But often the cause is an indirect injury.

Fracture can be recognized based on certain symptoms. Typically, this is the occurrence of pain at any point, when the hand is compressed into a fist. Often heard a crunch. Also, the deformation of the finger itself and the restriction of its movement are observed.

Fracture of the finger can be of several types. So, distinguish transverse fractures, helical, less often oblique or comminuted. In addition, there are fractures intra- and extra-articular, without bias or displacement. Often, the diagnosis is simple, so when determining the fracture, there is no difficulty.

In the case of a fracture without bias, treatment is conservative. For immobilization use gypsum longite. It takes about twenty days. But in certain situations it takes much more time.

At the same time, one must constantly ensure that the bandage keeps fingers in their functional position with the direction (or, rather, the reduction) of the tips of all fingers on the styloid process of the radial bone itself.

Those fingers that are not damaged should remain free. When there is a fracture of the finger with displacement, the reposition of the fragments is mainly carried out. This is done in order to perform an accurate comparison. In case of impossibility of carrying out a closed reposition, surgical treatment with the use of fragments of spokes is required for more reliable fixation.

It should be noted that fracture of the finger, the symptoms of which can be and such as cyanosis and puffiness, is diagnosed and using an X-ray picture made in two projections. In any case, the only true diagnosis should be put by a qualified specialist.

It is important to know that the fragments of the damaged phalanx should be compared very well and accurately. This is necessary in order to preserve the functions of the finger. Otherwise, the finger will not only not be able to function, but it will remain deformed. And for the subsequent correction of it will require a repeated correction of the bone through a fracture.

Fracture of the phalanx of the finger requires wearing gypsum longi for at least three weeks. And often with a fracture with a displacement to hold the fragments, except for the spokes, bone pins are used. And in certain cases, skeletal traction is superimposed.

It should also be noted that the comparison of fragments must be carried out in the shortest possible time. This should be done no later than the second day after the direct fracture. As a rule, such a comparison is carried out under compulsory local anesthesia.

In case of successful carrying out of this manipulation, a plaster bandage is applied, when imposing it it is necessary to capture the entire first finger. This is done under the constant control of the X- ray.

With repeated bias, skeletal traction is required, which lasts up to three weeks. In the other case, treatment is performed by surgery. After fixing the fragments with spokes (one or two, as a rule) for about three weeks, they (spokes) are extracted. However, the cast is left for about five weeks.

At the end of all these procedures, a fracture of the finger is treated with the help of physiotherapy, as well as physiotherapy. Until the full restoration of the functions of the finger, continuous monitoring is recommended either by the attending physician or other qualified specialist.

It often happens that a fracture is rather complicated, with many fragments. In this situation, as a rule, an osteosynthesis operation is performed. It implies the fixation of fragments with the help of spokes or plates. Specially designed metal plates can be bent and modeled in such a way as to repeat exactly the anatomy of the directly broken finger.

In addition, these plates have another advantage: they are quite low in thickness. And this means that visually they are not visible at all after the wound is closed. And they also do not injure nearby soft tissues. With the help of such an operation, it is possible to accurately collect all (even the smallest) fragments.