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Chapter: Medical Surgical Nursing: Management of Patients With Musculoskeletal Trauma

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Hand - Fracture

Trauma to the hand often requires extensive reconstructive surgery.

HAND

Trauma to the hand often requires extensive reconstructive surgery. The objective of treatment is always to regain maximum function of the hand.

Management

For an undisplaced fracture of the phalanx (finger bone), the fin-ger is splinted for 3 to 4 weeks to relieve pain and to protect the finger from further trauma. Displaced fractures and open frac-tures may require open reduction with internal fixation, using wires or pins.

 

The neurovascular status of the injured hand is evaluated. Swelling is controlled by elevation of the hand. Functional use of the uninvolved portion of the hand is encouraged.

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