Steve Silverman is an award-winning writer, covering sports since An avulsion fracture occurs when a tendon pulls off a piece of a bone, usually from a forceful collision. It is a common injury in sports, particularly in the thumb area.
As the classification increases from I to V, the frequency of injury decreases types I and II common but the severity of injury increases. Higher data usage mode: Magnified images are currently set to load all at once - this will give the best viewing experience, but may use more data. You can change this setting in the "Modules" menu, or here.
It is essentially synonymous with skier's thumbalthough the latter has more of an acute injury connotation. The repetitive breaking-of-necks of small game rabbits and such resulted in chronic injury to the ulnar collateral ligament of the metacarpophalangeal joint of the thumb with weakening and eventual tear. Gamekeeping and poaching have largely fallen by the wayside as a recreational activity.
Fall 24 hours previously onto outstretched hand. Tender anatomical snuff box and thumb tenderness on telescoping. Q: Why was this series performed? A: The history and examination findings would have been concerning for a scaphoid injury.
Fractures of the proximal phalanx of the thumb are less common than those of the thumb distal phalanx and metacarpal. These injuries are particularly prevalent in sports and are often the result of direct blunt trauma or from a fall on an outstretched hand FOOSH. A classic patient with a thumb proximal phalanx fracture is a year-old, right-handed male who was skiing at a fast pace when he planted his left pole in a firm section of snow and caught an edge of his right ski.
Treatment of displaced or rotated avulsion fractures of the ulnar base of the proximal phalanx of the thumb remains controversial. There is limited information on the outcome of management of these injuries by non-surgical means. We undertook a retrospective follow-up study of the non-operative treatment of these fractures.
Search for more papers by this author. Fractures about the radial or ulnar aspects of the base of the proximal phalanx or the metacarpal head represent collateral ligament avulsion injuries. Unlike such injuries in the metacarpophalangeal joint of the thumb these injuries are rare and have received scant attention in the literature.
Articles in the December issue discuss various health issues affecting school-aged children, including acne, eczema and growth disorders. Volume 41, No. Hand injuries are a common presentation to general practice and optimal hand function is essential for good quality of life.
Please take this quick survey to tell us about what happens after you publish a paper. Archives of Orthopaedic and Trauma Surgery. Acute grade III tears of the radial collateral ligament RCL of the thumb as well as certain bony avulsion fractures receive early surgical repair at our institution.
Fractures of the thumb are important due to huge impact the thumb has on the overall function of the hand, an understanding of the types of fractures that occur is important, as treatment varies with fracture type. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Updating… Please wait.