Phalangeal Fractures: Anatomy, Injuries and Treatment-Phalangeal and Metacarpal Fractures-Anatomy Injuries and Treatment

Video Transcription

Video Summary

The video discusses the management of phalangeal and metacarpal fractures in the hand. The speaker emphasizes that hand fractures are common and effective treatment is crucial for maintaining patient function. The initial assessment of these injuries includes evaluating the mechanism of injury, contamination of soft tissue, handedness, fracture location, and the patient's occupation and medical history. Physical examination should assess malalignment, swelling, circulatory status, and neurologic function. X-rays are critical for diagnosis, and the personality of the fracture, whether open or closed, single or multiple, and stable or unstable, is important for treatment planning. The speaker then discusses management strategies for distal phalanx, bony mallet, phalangeal shaft, ligament avulsion, condylar, and metacarpal fractures. Treatment options include closed reduction and casting, pin fixation, screw and plate fixation, and external fixation. The speaker highlights the importance of early active motion and avoiding extensor adhesions in obtaining good outcomes. Various techniques and surgical indications are described, as well as potential complications and expected outcomes. The video concludes with exam-style questions to reinforce important concepts. No credits were mentioned in the video.

Keywords

phalangeal fractures

metacarpal fractures

hand fractures

treatment options

assessment of injuries

management strategies

complications and outcomes