수부 골절 및 탈구치료의 최신지견

Abstract

Fractures and dislocation of the hand is a body injury involving complex structures and multiple functions, which frequentlyoccur as they represent 10%-30% of all fractures. Such fractures and dislocation of the hand should be treated in the contextof stability and flexibility; and tailored treatment is required in order to achieve the most optimal functional performancein each patient since deformation may occur if not treated, stiffness may occur with unnecessarily excessive treatment,and both deformation and stiffness may occur coincidently with inappropriate treatment. Stable injuries can be fixed withsplintage whereas surgery is actively considered for unstable injuries. In addition, surgeons should keep in mind that asthe surgical intervention is done aggressively, aggressive rehabilitation must be followed in correspondence with the surgicalintervention. Successful outcome requires effort to prevent any potential complication including nerve hypersensitivity andinfection. Finally, it is also important that the patient to know that swelling, stiffness, and pain may last for a long periodof time until the recovery of fractures and dislocation of the hand.