Hand Fractures: Indications, the Tried and True and New Innovations.
Hand fractures are the second most common fracture of the upper extremity, and management of patients with these injuries is common for most hand surgery practices. In this article, we outline the principles of management of these injuries with a special focus on those that are common or complex. We also highlight recent innovations in the context of these injuries. From this cross-section of contemporary evidence on phalangeal and metacarpal fracture treatment, we have noted a trend toward minimally invasive surgery with immediate postoperative mobilization, the use of wide-awake anesthesia, as well as sustained investigation and innovation in the biomechanics and treatment of proximal interphalangeal joint fracture dislocations.
Robert A. Chase Hand and Upper Limb Center, Department of Orthopaedic Surgery, Stanford University Medical Center, Redwood City, CA; Department of Hand and Reconstructive Microsurgery, National University Hospital, National University Health System, Singapore.
Andre Eu-Jin
AE
Cheah
Robert A. Chase Hand and Upper Limb Center, Department of Orthopaedic Surgery, Stanford University Medical Center, Redwood City, CA. Electronic address: yao_jeffrey@yahoo.com.
Jeffrey
J
Yao
D001860:Bone Plates; D001863:Bone Screws; D005260:Female; D005383:Finger Injuries / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery; D005544:Forecasting; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods / Q000639:trends; D017102:Fracture Healing / Q000502:physiology*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006230:Hand Injuries / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000639:trends; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D011379:Prognosis; D011859:Radiography / Q000379:methods; D018570:Risk Assessment
Metacarpal; fracture; hand fracture; open reduction internal fixation; phalanx