Phalangeal and Metacarpal Fractures of the Hand: Preventing Stiffness

Summary:. Fractures of the phalangeal or metacarpal bones of the hand are common. Many of these fractures are treated without surgery. However, both conservative and operative management of fractures of the hand can result in stiffness. Stiffness is the most common complication in the management of...

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Autores principales:	Michael W. Neumeister, MD, FRCSC, FACS, James N. Winters, MD, Erica Maduakolum, MD
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/01acd36cd60247b5aa6423f7cb1ede48
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spelling	oai:doaj.org-article:01acd36cd60247b5aa6423f7cb1ede482021-11-25T07:57:34ZPhalangeal and Metacarpal Fractures of the Hand: Preventing Stiffness2169-757410.1097/GOX.0000000000003871https://doaj.org/article/01acd36cd60247b5aa6423f7cb1ede482021-10-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003871https://doaj.org/toc/2169-7574Summary:. Fractures of the phalangeal or metacarpal bones of the hand are common. Many of these fractures are treated without surgery. However, both conservative and operative management of fractures of the hand can result in stiffness. Stiffness is the most common complication in the management of hand fractures. The key to preventing stiffness is early range of motion exercises. This article challenges many of the current treatment regimens offered to patients with the so-called unstable fractures. The evaluation of the patients’ function is the primary factor that should determine the course of conservation versus operative management. X-rays do not demonstrate function and therefore act as an adjunct only to the care of the patient. The goal of treating hand fractures is to restore function. Early motion may not only improve healing but may also hasten the return to normal hand function. The tenets of how to prevent stiffness are described in this review.Michael W. Neumeister, MD, FRCSC, FACSJames N. Winters, MDErica Maduakolum, MDWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 10, p e3871 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Michael W. Neumeister, MD, FRCSC, FACS James N. Winters, MD Erica Maduakolum, MD Phalangeal and Metacarpal Fractures of the Hand: Preventing Stiffness
description	Summary:. Fractures of the phalangeal or metacarpal bones of the hand are common. Many of these fractures are treated without surgery. However, both conservative and operative management of fractures of the hand can result in stiffness. Stiffness is the most common complication in the management of hand fractures. The key to preventing stiffness is early range of motion exercises. This article challenges many of the current treatment regimens offered to patients with the so-called unstable fractures. The evaluation of the patients’ function is the primary factor that should determine the course of conservation versus operative management. X-rays do not demonstrate function and therefore act as an adjunct only to the care of the patient. The goal of treating hand fractures is to restore function. Early motion may not only improve healing but may also hasten the return to normal hand function. The tenets of how to prevent stiffness are described in this review.
format	article
author	Michael W. Neumeister, MD, FRCSC, FACS James N. Winters, MD Erica Maduakolum, MD
author_facet	Michael W. Neumeister, MD, FRCSC, FACS James N. Winters, MD Erica Maduakolum, MD
author_sort	Michael W. Neumeister, MD, FRCSC, FACS
title	Phalangeal and Metacarpal Fractures of the Hand: Preventing Stiffness
title_short	Phalangeal and Metacarpal Fractures of the Hand: Preventing Stiffness
title_full	Phalangeal and Metacarpal Fractures of the Hand: Preventing Stiffness
title_fullStr	Phalangeal and Metacarpal Fractures of the Hand: Preventing Stiffness
title_full_unstemmed	Phalangeal and Metacarpal Fractures of the Hand: Preventing Stiffness
title_sort	phalangeal and metacarpal fractures of the hand: preventing stiffness
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/01acd36cd60247b5aa6423f7cb1ede48
work_keys_str_mv	AT michaelwneumeistermdfrcscfacs phalangealandmetacarpalfracturesofthehandpreventingstiffness AT jamesnwintersmd phalangealandmetacarpalfracturesofthehandpreventingstiffness AT ericamaduakolummd phalangealandmetacarpalfracturesofthehandpreventingstiffness
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Phalangeal and Metacarpal Fractures of the Hand: Preventing Stiffness

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