Prepared for thamer A. | Delivered April 20, 2021
Hand Injury Case Studies
To provide insights regarding hand injuries in the medical practice by establishing medical case studies of hand injuries.
Pediatric Distal Radius Fractures
In this case, two 8-year old female patients fell off a
and showed signs of swelling or tenderness around the distal radius, with no further injuries.
Diagnosis & Treatment
After performing x-rays, the first patient had a
, and the second patient had a Salter-Harris fracture (type 2).
Since buckle fractures are
(without any serious risk of displacement), the treatment procedure followed for the first patient was using a removable brace for
However, the second patient required treatment that involved
, casting, and returning check-ups until an x-ray reveals normal growth.
After treatment, the first patient did not have any further issues with the hand. However, the second patient returned after
with a large bump on her ulnar wrist.
Closed Mallet Thumb
The closed mallet thumb injury recorded involves a female caucasian aged
. She sustained the injury in an accident with her horse. The horse rein wrapped around her
dominant right thumb
while the animal pulled at it in different directions, leading to a hyperflexion trauma.
After physical examination, the integument of the injured thumb was still intact. There was a
on the interphalangeal (IP) joint and severe local pain.
Functional testing revealed an inability for
of the IP joint. Following passive IP joint extension, the patient was unable to maintain its full extension.
Otherwise, the IP joint was stable and didn't show any fractures. "The metacarpophalangeal (MCP) joint of the affected thumb was compromised in its physiological range of motion (ROM) due to the pain but
. No other combined injuries were observed."
Diagnosis & Treatment
The clinical diagnosis for the patient was a "closed rupture of the extensor
(EPL) tendon." Following an ultrasound examination, the decided course of treatment was surgical.
The surgery involved the use of
, an H-shaped "
centered on the IP joint." It also required the anatomical reinsertion of the tendon.
Since a suture was not possible due to the rupture location, the reconstruction procedure took place using a "
"Additionally, the IP-joint was transfixed with a
(1.25 mm) in full extension to ensure immobilization during the initial healing process."
Postoperative recovery followed due process with immediate hand physiotherapy, followed by "
and increased weight-bearing."
Eight weeks after the surgery, the patient was exposed to
and full mobilization.
The patient recovered fully with a Kapandji score of 9 (normal) and
7kg pinch strength
The information available for hand injuries is quite substantial. However, treatment methods may vary depending on the case. There also appear to be standard procedures for certain hand injuries.
Hand injuries may be resolved with or without further complications depending on a variety of factors.
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