The most common fracture of the hand in adults
Base of proximal phalanx fracture is most common pediatric hand fracture.
Little finger is the most common ray involved, followed by the...
Mechanism of injury: direct blow, axial load, axial traction, twisting/torque, or “grabbing a jersey”
History of previous injury, surgery, or deformity
Pain, swelling, brui...
Open (compound) fractures: irrigation, sterile wet dressing, ice, elevate, splint, refer to orthopedic surgeon:
Prophylactic antibiotics should be administered 2[A].
Empiric antibiotics to cov...
Stable, nond...
Cornwall R, Ricchetti ET. Pediatric phalanx fractures: unique challenges and pitfalls. Clin Orthop Relat Res. 2006;445:146–156.
Giddins G. The nonoperative management of hand f...
Return-to-play decision based on stability, ROM, current clinical and radiographic healing status, and specific demands of sport
Most athletes with stable fractures are able to return a...
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