The hand is one of the most complex structures of our body. The complex functions of hands are performed by moving the bones making up our fingers and hands through many muscles and tendons. Failure to properly treat such fractures of these bones may lead to severe dysfunctions.
Fractures occur when there is an excessive force on the bones. This force is caused by falling, crush, or hit by a hard object, or by overstretched tendon. Fractures could be in the body of bones or condyle forming the surface of joints. The most important sign of a fracture is a moving part which normally doesn’t move and is called pathological move. A severe pain is experienced after breaking a bone. Fractured part may be bruised and swollen.
The diagnosis is often made following a physical examination and radiography study. Being experienced is critical in evaluation of fractures as the hand has a very complex structure. The normal radiographies may sometimes not reveal the fracture depending on the type of the fracture. A computed tomography (CT) may be required to both detect the suspected fractures and decide a treatment method.
The basic aim in treatment of hand fractures should be early and total move. Many fractures of hands and fingers can be treated by nonsurgical methods such as plaster or splint. In the case of multipart fractures, a surgical therapy may be necessary if fractured ends are separated, or if the fracture involves exterior environment (open fracture). Especially in fractures involving the surface of joints, it is crucial to smoothly fuse fragments of fracture and achieve an early move through a proper fixation for prevention of future calcifications. An end to end fixation of fractures is performed by various wires and plague-screws during the surgery. Postoperative rehabilitation programs play an important role to smoothly recover complex functions of the hand.