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Orthopaedics
Phalangeal Fractures of the Hand (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Adult Trauma (AO Foundation)
What’s inside
1 sections · 103 slides
Overview
- Introduction
- Scope of this seminar
- Why phalangeal injuries matter
- Anatomy and biomechanics
- Interphalangeal joint stability
- Interphalangeal joint stability
- Extensor apparatus at the PIP joint
- Extensor apparatus at the PIP joint
- Boutonnière and swan-neck deformities
- Boutonnière and swan-neck deformities
- Clinical and radiographic assessment
- Clinical examination of the finger
- Clinical examination of the finger
- Rotation, shortening and stability
- Rotation, shortening and stability
- Displacement that needs treatment
- Tests for central slip detachment
- Tests for central slip detachment
- Imaging and recognizing subluxation
- Imaging and recognizing subluxation
- AO/OTA classification
- AO/OTA codes: proximal phalanx
- AO/OTA codes: middle and distal phalanx
- Phalangeal segments and dislocations
- Proximal phalanx
- Proximal phalanx base injuries
- Proximal phalanx base injuries
- Base avulsion and shearing: options
- Base avulsion and shearing: options (cont.)
- Reduction of MCP joint dislocation
- Reduction of MCP joint dislocation
- Proximal phalanx oblique shaft: options
- Proximal phalanx oblique shaft: options (cont.)
- Transverse and comminuted: options
- Transverse and comminuted: options (cont.)
- Choosing fixation for the shaft
- Choosing fixation for the shaft
- Proximal phalanx head: options
- Proximal phalanx head: options (cont.)
- PIP fracture-dislocation (PP head)
- PIP fracture-dislocation (PP head)
- Middle phalanx
- Middle phalanx base and PIP injuries
- Middle phalanx base and PIP injuries
- Central slip (dorsal) avulsion: options
- Central slip (dorsal) avulsion: options (cont.)
- Extensor block pinning at the PIP joint
- Extensor block pinning at the PIP joint
- Volar plate avulsion: Eaton types
- Volar plate avulsion: Eaton types
- Volar plate avulsion: options
- Volar plate avulsion: options
- Multifragmentary base: options
- Multifragmentary base: options
- Hemihamate arthroplasty steps
- Hemihamate arthroplasty steps
- Middle phalanx shaft and head fractures
- Middle phalanx shaft and head: options
- Middle phalanx shaft and head: options (cont.)
- Distal phalanx
- Distal phalanx fractures: overview
- Distal phalanx fractures: overview
- Mallet finger: mechanism and splinting
- Mallet finger: mechanism and splinting
- Mallet finger: options
- Mallet finger: options
- Palmar (FDP) avulsion: types and options
- Palmar (FDP) avulsion: types and options
- Shaft and tuft fractures
- Shaft and tuft fractures
- DIP joint dislocation
- DIP joint dislocation
- Operative technique
- Preparation and anesthesia
- Preparation and anesthesia
- Surgical approaches and their uses
- Surgical approaches and their uses
- Soft-tissue rules around the PIP joint
- Soft-tissue rules around the PIP joint
- Lag screws for long oblique fractures
- Lag screws for long oblique fractures
- Retrograde intramedullary headless screw
- Retrograde intramedullary headless screw
- Aftercare and complications
- Four phases of aftercare
- Four phases of aftercare
- Splint position and follow-up
- Splint position and follow-up
- Complications of phalangeal fractures
- Complications of phalangeal fractures
- Malunion and nonunion
- Malunion and nonunion
- Take-home messages
- References (1 of 9)
- References (2 of 9)
- References (3 of 9)
- References (4 of 9)
- References (5 of 9)
- References (6 of 9)
- References (7 of 9)
- References (8 of 9)
- References (9 of 9)
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