Is distal phalanx fracture serious?

summary

The thumb of hand phalanx is divided into proximal and distal segments. The other four fingers have proximal, middle and distal segments. The phalanx is small, but the joints are flexible. Most of them are sellar joints, that is to say, the fingers only move axially, and there is almost no movement in the non axial direction. There is an insertion point of tendon attached to the middle and distal phalanx, which becomes the anatomical basis of hand finger movement. Finger bone fracture is a common hand injury. Hand is the most dexterous organ of human body. Finger bone fracture damages hand bone and seriously affects hand function. Is distal phalanx fracture serious? Now let me tell you something.

Is distal phalanx fracture serious?

It can be treated with drugs. In the early stage, it is suitable to promote blood circulation, remove blood stasis, detumescence and relieve pain, and orally take limb injury prescription or Qili powder. In the middle stage, Jiegudan and balisan can be used. If there are no other symptoms in the later stage, the drug can be dispensed with. After removing the fixation, the affected hand can be fumigated with upper limb washing formula or Baxian Xiaoyao decoction.

Manual reduction was used. During the reduction of proximal phalangeal fracture, the patient took the sitting position. The surgeon pinched the proximal end of the fracture with his thumb and index finger, and pulled the distal end of the fracture with his thumb and index finger. Then, the thumb supported the volar side of the fracture as a fulcrum, continued to pull the affected limb and flexed to reduce.

In addition to the phalangeal fracture whose fracture site is far from the insertion of flexor digitorum superficialis tendon. The affected limb should be fixed in the functional position, and the finger should not be completely extended and fixed, so as not to cause joint capsule and lateral collateral ligament contracture and cause joint stiffness. If there is no displaced fracture, plastic bamboo splint or aluminum plate can be used to fix the hand in the functional position for about 4 weeks.

matters needing attention

The basic principles of the treatment of phalangeal fractures are: reduction, fixation and rehabilitation exercise. Especially the function of the hand is very important. It is necessary to choose the appropriate treatment and strengthen the functional exercise in the case of retaining the function to the maximum extent.