[Fractures of the wrist and hand. Principles of conservative treatment].
Over the last years, many special instruments and implants were designed for operative treatment of fractures of the wrist and hand. Therefore, conservative treatment of these injuries became old-fashioned in the eyes of most patients and surgeons. Nevertheless, conservative treatment of nondislocated stable fractures of the wrist and hand usually shows better clinical results than operative treatment does. On the other hand, conservative treatment of displaced fractures is very difficult. The key to success is thorough knowledge of the use of casts, splints, and functional therapy and good patient compliance to avoid complications. Opportunities for conservative treatment of fractures of the wrist and hand are herein described.
Gaulke
R
R
Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. gaulke.ralph@mh-hannover.de
Spies
M
M
Krettek
C
C
D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000293:injuries*; D002370:Casts, Surgical; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000628:therapy*; D006230:Hand Injuries / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D026741:Physical Therapy Modalities; D011859:Radiography; D013165:Splints; D014954:Wrist Injuries / Q000000981:diagnostic imaging / Q000628:therapy*