Serious, often subtle finger injuries : avoiding diagnosis and treatment pitfalls
Deutscher übersetzter Titel: | Ernsthafte, oftmals schwierige Fingerverletzungen : Vermeidung von Fehlerquellen in Diagnose und Behandlung |
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Autor: | Lairmore, James R.; Engber, William D. |
Erschienen in: | The physician and sportsmedicine |
Veröffentlicht: | 26 (1998), 6, S. 57, 58, 60, 62-64, 67-69, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource Elektronische Ressource (online) |
Sprache: | Englisch |
ISSN: | 0091-3847, 2326-3660 |
DOI: | 10.3810/psm.1998.06.1038 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU199809304104 |
Quelle: | BISp |
Abstract des Autors
Three common finger injuries - proximal interphalangeal (PIP) injuries, mallet finger, and skier's thumb - present unique diagnostic and treatment challenges. Careful history-taking and physical examination are, of course, essential for diagnosing these injuries, but appropriate x-rays are often pivotal. For PIP joint dislocations and fracture-dislocations, extension block splinting is often appropriate, but surgery may be required for an unstable injury. Most mallet finger injuries can be treated with a Stack splint, but functional deformity may necessitate surgery. Skier's thumb can be a bony or ligamentous injury; to avoid fragment displacement, radiographs should be obtained before stressing the joint. Treatment includes a thumb spica cast for a nondisplaced fracture or stable joint, referral for a displaced fracture, and surgery for an unstable joint. Verf.-Referat