Operational Medicine Medical Education and Training

Hand Injuries

Open Injuries to the Hand

Hand injuries can be complicated by deformity from no treatment, stiffness from over treatment, and both deformity and stiffness from poor treatment.

A. Swanson 1970

Hand Injuries

42 MB ppt File

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REMEMBER THE PATIENT

Be honest

Leave the wound covered

Determine extent of injury

Don’t Freak Out

THIS IS ORTHOPAEDICS – KEEP IT SIMPLE

Bones

Tendons

Nerves

Vessels

Skin

INITIAL PATIENT CONTACT

Listen and look

BONE

  • Flex fingers - all digits should point to scaphoid tubercle
  • Angulation tolerated better in plane of motion
  • Rotation not well tolerated
  • Everyone gets an x-ray
  • Be able to describe which bone and which part of the bone
  • Don’t forget to look at the whole x-ray

X-RAYS

  • AP, lateral and oblique films are a must
  • If digit involved, get dedicated x-ray
  • Look at soft tissues as well as bone

Continue to PowerPoint® Lecture...

 

Lecture by

Christopher J. Hogan, MD
Surface Warfare Medicine Institute

2006 Surface Warfare Medical Officer Indoctrination Course
Naval Operational Medicine Institute
340 Huise Road
Pensacola FL 32508-1092

 

Hand Injuries

42 MB ppt File

Free Download Now

 

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