Received Oct 28; Accepted Oct This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This article has been cited by other articles in PMC. Abstract The prevalence of childhood obesity has increased dramatically during the past decades all over the world.
What is a Broken Finger Phalanx Fracture?
A broken finger also known as a phalanx fracture is a very common hand injury. In people under 30 years old, fingers are usually broken during sports; and for people between years old, fingers are typically broken from a machine or work related accident, and in people older than 70, its usually broken during a fall.
Lets quickly review the anatomy of our hand. Our wrist bones are called carpal bones we have 8our hand bones are called metacarpals we have 5, one for each fingerand our finger bones are called phalanx bones.
Each finger has 3 phalanx bones. The first bone in your finger is called the proximal phalanx, the middle finger bone is called the middle Slipped capital femoral epiphysis essay, and the finger tip bone is called the distal phalanx. In this talk we will look at the diagnosis and treatment of a broken proximal or middle phalanx.
A broken distal phalanx the tip of the finger usually occurs when your finger gets crushed like caught in a door and this is called a "Tuft Fracture" and is discussed in a separate section because its so common see talk. How is a Broken Finger Phalanx Fracture diagnosed? A broken finger is suspected when someone reports injuring their finger and is experiencing significant pain and swelling.
A finger bent out of place is a pretty good indication that the finger is either broken or dislocated or both. The inability to bend your finger due to pain is also suggestive of a break. If your doctor suspects a broken finger, the next step is to get an x-ray. An x-ray of the injured finger is a good way to diagnose a broken finger, and usually its the only tested needed for diagnosis.
X-rays of the broken finger are then used to guide treatment. How is a Broken Finger Phalanx Fracture treated? All broken fingers are not equal, some need surgery and some just need buddy tape. So how do doctors decide? The first step is to look at the pattern of the break.
Looking at the x-rays doctors determine 1 if it enters into the joint aka knuckle, where the two finger bones come together and allow your finger to bend2 if its broken in multiple places; 3 if the bone fragments have moved out of position. A break in the finger bone that stays away from the joint "extra-articular" is usually treated by simply buddy taping it to the neighboring finger for about 3 weeks longer immobilization has an increased risk for causing long-term finger stiffness.
Buddy tape works well as long as the broken bone is in normal or near normal alignment this shows that its stable If the bone is broken in only one place and its bent less than 10 degrees and it hasn't shortened or rotated, then its stable.
Buddy tape is great because recruits your neighboring finger as a splint to give protection and stability to the injured finger, while also allowing your finger to move a little bit so that it doesnt get too stiff stiffness is a real concern with finger injuries, more on that later.
However, if the finger is broken into multiple pieces or if the crack in the bone enters one of the knuckle joints "intra-articular" or if the bone fragment has moved significantly out of position, then surgery is often recommended.
If the finger bone shortens more than 2 milimeters or is bent over 10 degrees, an "extensor lag" will develop, which means that you cannot fully straighten that finger the biomechanics are changed.
Breaks that go into the finger joint called "Condyle Fractures" are unstable even if it looks like a tiny hairline crack "nondisplaced".Acute Slipped Capital Femoral Epiphysis: Treatment Alternatives.
Carl L. Stanitski, MD Abstract Acute slipped capital femoral epiphysis represents a unique type of proximal femoral epiphyseal instability. The potential for complications and unsatisfactory outcomes is high, especially due to avascular necrosis.
Hip disorders: slipped upper femoral epiphysis. Displacement of the upper femoral epiphysis on the metaphysis through the hypertrophic zone of the growth plate. The femoral neck displaces anteriorly and the head remains in the acetabulum.
Widening of physis, Klein’s line intersects lateral capital epiphysis on AP. Slipped capital femoral epiphysis. The term slipped capital femoral epiphysis is actually a misnomer, because the epiphysis (end part of a bone) remains in its normal anatomical position in the acetabulum (hip socket) due to the ligamentum teres femoris.
It is actually the metaphysis (neck part of a bone) which slips in an anterior direction with external rotation. - Slipped Capital Femoral Epiphysis (SCFE) - Board Review This video briefly explain the etiologic factors that causes hip pain in child. If the address matches an existing account you will receive an email with instructions to reset your password.
Abstract. With the increasing emphasis on physical activity and physical fitness, the human body is being subjected to an increasing number of stresses, leading to a .