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Comprehensive Guide to Hand Injuries

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Surgicalgown
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127 views25 pages

Comprehensive Guide to Hand Injuries

Uploaded by

Surgicalgown
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd

HAND INJURIES

Adapted from source


Overview
• Common Fractures
• Infections
• Traumatic Amputations
• Glass! Can see on XR
Fractures
• Metacarpal
– CMCJ #Dislocation
– Boxers

• Bennett’s
• Skier’s Thumb
• Trans-scaphoid perilunate #Dislocations
Metacarpal Fractures
• CMCJ #Dislocation
• Boxers
• Trans-scaphoid perilunate #Dislocations
Base Fractures
Boxer
Peri-Lunate Dislocation
Skier’s Thumb
Skier’s Thumb
Infections
• Septic Arthritis MCPJ
• Flexor Sheath Infections
• Others
Clenched-Fist or ‘Fight-bite’ Injuries
A. Mixed Anaerobes and
aerobes
B. Staphylococcus aureus
C. Streptococcus
D. Eikenella corrodens
(anAerobic Gram Negative Rod)

a. Amoxicillin-clavulanate
(Augmentin) or
b. Dicloxacillin with Penicillin
(covers E. corrodens)
c. Cephalexin (Keflex) with
Penicillin or
d. Clindamycin with
Fluoroquinolone or
e. Clindamycin with
Trimethoprim-sulfamethoxazole
Flexor Sheath Infections
Crush Injuries
High-pressure injection injuries
• Tiny entry wound, but serious
injuries
• Paint, grease and solvents
penetrate the skin and spread
throughout the underlying fascial
planes
• Need emergency decompression
and debridment of as much
foreign material as possible
• Leave wounds open,
immobilization, elevation and iv
antibiotics
Finger Amputations
Mepitel
Glass

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