Download e-book for iPad: Current Orthopaedics. Volume 22 (2008) (continued 2009 as by Professor R. A. Dickson MA, ChM, FRCS, DSc (Editor)

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Extra resources for Current Orthopaedics. Volume 22 (2008) (continued 2009 as Orthopaedics and Trauma)

Sample text

Introduction Most hand injuries are associated with injuries to the bones. Although, treatment guidelines for the most common fracture types are well described, the individual combinations of fractures as well as damage to the associated soft tissue structures makes each hand injury unique. Therefore, bone injuries remain a daily challenge for the hand surgeon. Fractures are classified into open or closed, simple (two fragments) or comminuted ÃCorresponding author. : +49 9771 662802; fax: +49 9771 659204.

J Hand Ther 2005;18:94–110. 3. Gelberman RH, Woo SL, Lothringer K, Akeson WH, Amiel D. Effects of early intermittent passive mobilization on healing canine flexor tendons. J Hand Surg [Am] 1982;7:170–5. 4. Urbaniak JD, Cahill JD, Mortenson RA. Tendon suturing methods: analysis of tensile strengths. In: Hunter JM, Schneider LHY, editors. Symposium on Tehdon Surgery in the Hand. St. Louis: CV Mosby; 1975. p. 70–80. 5. Kessler I. The ‘‘grasping’’ technique for tendon repair. Hand 1973;5:253–5. 6. Tajima T.

Closed fractures of the hand Stiffness due to soft tissue oedema, tendon adhesions and joint capsule or ligament contracture are the most common complication of hand fractures. To minimize the risk of stiffness every fracture in the hand should either be stable enough to allow early active motion and rehabilitation or it should be stabilized. The risk of fibroplasia and scar generation resulting in stiffness of the fingers following operative treatment of closed fractures of the hand is well known.

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