Hand & Fingers

Injuries to the hand and fingers are common and vary from simple lacerations and fractures to complex tendon and joint injuries. Accurate diagnosis and timely management are crucial to preserve function.

Hand and finger trauma encompasses a wide spectrum, including phalangeal fractures, dislocations, tendon lacerations (flexor/extensor), and nail bed injuries.
Mechanisms include crush injuries, direct blows, and lacerations.
Initial assessment includes inspection for deformity, neurovascular status, range of motion, and tendon function.
Radiographs are essential to evaluate fractures or joint dislocations.
Common injuries:

Mallet finger
Jersey finger
Boutonnière and swan-neck deformities
Metacarpal neck (Boxer’s) fracture
Open fractures (risk of infection)
Treatment varies: from splinting and buddy taping to surgical fixation or tendon repair.
Rehabilitation and early motion are vital to prevent stiffness.

hand-fingers