Uploaded by Fikri Akbar

Hand Orthop

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ANATOMY
• She Look To Pretty
• Try To Catch Her
From RADIUS
Scaphoid, Lunatum, Triquetrum, Psiform
Trapezium, Trapezoid, Capitatum, Hamatum
1. Volkmann’s Ischaemic Contracture
Volkmann contracture is a permanent shortening of forearm muscles,
usually resulting from injury, that gives rise to a clawlike deformity of the
hand, fingers, and wrist. It is more common in children.
Cause : Compartment Syndrome, Trauma
Complication : Damage on Ulnar Nerve and/or Radial Nerve
Treatment:
• Lengthening the shortened
tendon
• Excising the fibrous muscle
• Tendon Transfer
2. Mallet Finger & Trigger Finger
• Mallet Finger/ Baseball Finger
• Trigger Finger
The injury from Extensor Tendon of the Terminal
Trigger finger is a condition in which one of your
Phalanx (distal interphalangeal (DIP) joint)
fingers gets stuck in a bent position (akibat
Akibat dari trauma.
peradangan). Your finger may bend or
straighten with a snap — like a trigger being
pulled and released.
3. Dupuytren’s Contracture
Dupuytren's disease is a condition that affects the fascia—the fibrous layer
of tissue that lies underneath the skin in the palm and fingers. In patients
with Dupuytren's, the fascia thickens, then tightens over time. This causes
the fingers to be pulled inward, towards the palm.
PAINFUL FASCIA NODUL
4. Boutunniere Deformity
A Boutonniere deformity is a deformity of
the fingers in which the proximal
interphalangeal joint (PIP) is flexed and the
distal interphalangeal joint (DIP) is
hyperextended. It is an extensor tendon
injury over zone III.
5. Swan-Neck Deformity
Swan neck deformity are degenerative
conditions, often seen with
rheumatoid arthritis. Characterized by
PIP Join Hyperextension, and
DIP Join Flexion
6. Jersey Finger
Traumatic flexor tendon injury caused by an
avulsion injury of the FDP (FLEXOR
DIGITORUM PROFUNDUS) from the
insertion at the base of distal phalanx
7. Boxer Fracture
• A boxer's fracture is a break in the neck
of the 5th metacarpal bone in the hand.
8. Gamekeeper’s Thumb
• Torn in UCL (Ulnar Collateral Ligament)
NERVUS of HAND
HAND NERVES
• Radial Nerve (from C5-C8)
• Ulnar Nerve (from C8-T1)
• Median Nerve (from C5-T1)
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