History: 39 year old gentleman came to the office after a steel beam fell on his hand, crushing his index, middle, and ring fingers. He had fractures of the proximal phalanx to all three fingers and limited motion, swelling, and pain. Diagnosis: P1 fractures of index, middle, ring fingers Treatment: Index and Middle fingers intramedullary screw, Ring finger…
Table Saw Skin Graft – Franko
History: 63 year old gentleman sustained a table saw injury to his right index finger. This included a deep skin injury with full thickness loss but did not seem to involved the tendons, nerves, or vessels. Diagnosis: Right index full thickness loss Treatment: Full thickness skin graft to digit Outcome: Despite early loss of part of the graft, the…
PIP Joint ORIF – Franko
History: A 19 year old gentleman injured his middle finger joint while punching a wall. He presented to my office with an inability to flex and extend his middle finger and with pain and swelling. Diagnosis: Middle finger PIP joint intra-articular fracture with subluxation, moderately improved with traction Treatment: Middle phalanx open reduction, internal fixation with screws Outcome: He…
Mallet Finger CRPP – Franko
History: 31 year old female administrator injured her finger about 3 weeks prior to seeing me in the office. She had a fracture-dislocation of the finger tip, also known as a mallet finger or mallet fracture with dislocation. I recommend surgical treatment. To avoid making an incision, I recommended percutaneous pin treatment. Diagnosis: Right ring finger…
P1 Percutaneous Screws – Franko
History: 40 year-old male school principal came to my office after injuring his finger playing basketball and jamming the finger. He had significant pain and swelling and was unable to make a fist. X-rays showed a fracture of the proximal phalanx with displacement and rotation. Diagnosis: Left 5th proximal phalanx oblique fracture Treatment: Proximal phalanx closed reduction…
P1 Intramedullary Screw – Franko
History: 31 year-old male had a crush injury to his right middle finger. He worked as a registered dental assistant and it was important that he could return to wearing gloves and working as quickly as possible. X-rays showed a comminuted fracture of the proximal phalanx (finger) with more than 25 degrees of angulation in the…
P1 Derotation Osteotomy – Franko
History: 21 year-old female who fractured her left index finger in a car accident 2 years ago. She was treated without surgery which resulted in the bone healing with a rotational deformity. She notices that her index finger crosses over her other fingers when she makes a fist. Diagnosis: Left index proximal phalanx rotational malunion Treatment: Left index…