Upload
norman-robertson
View
224
Download
1
Tags:
Embed Size (px)
Citation preview
Assessment
• Vascular supply
• Nerve Fuction: Sensory and Motor
• Tendons
• Bone
• Soft Tissue Cover
• Remove Jewellery!
Hand Fractures
• Open vs Closed
• Open: Risk of osteomyelitis– Early thorough washout/debridement– Antibiotic prophylaxis– Definitive Fixation
Hand Fractures
• Closed Fractures: Assessment– ? Displaced on xray– Clinical deformity – angulation, displacement– ?Neurovascular compromise
• Management– Reduction +/- fixation– Immobilisation– Rehabilitation
Flexor tendon Injuries
• Zones of Injury
• Repair: Strength vs glide
• Post op: splinting, physiotherapy
Extensor Tendon Injuries
• Assessment
• Repair
• Post op splinting/phsiotherapy
• Mallet Finger Injury
• Boutonniere deformity
Nerve Injuries
• Anatomy: Median/ulnar/radial
• Digital nerves
• Nerve repair
• Nerve recovery: 1mm/day
• Post op splinting