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The metacarpal bone of the index finger has two centres of ossification: a primary centre in the shaft and a secondary centre in the head. This contrasts to the first metacarpal bone where the secondary centre is found in the base. The ossification process begins in the shaft during prenatal life, and in the head between 11th and 22nd months. [4]
The Bennett fracture is an oblique intraarticular metacarpal fracture dislocation, caused by an axial force directed against the partially flexed metacarpal. This type of compression along the metacarpal bone is often sustained when a person punches a hard object, such as the skull or tibia of an opponent, or a wall. It can also occur as a ...
Some fractures, however, cannot be held in a satisfactory position by this method, and require some additional form of fixation. This is the usual situation with all displaced fractures of the first metacarpal and of the proximal phalanges of the hand, and of about two thirds of fractures of the distal end of the radius. Percutaneous pinning is ...
A Salter–Harris fracture is a fracture that involves the epiphyseal plate (growth plate) of a bone, specifically the zone of provisional calcification. [2] It is thus a form of child bone fracture. It is a common injury found in children, occurring in 15% of childhood long bone fractures. [3]
Carpometacarpal bossing (or metacarpal/carpal bossing) is a small, immovable mass of bone on the back of the wrist. The mass occurs in one of the joints between the carpus and metacarpus of the hand , called the carpometacarpal joints , where a small immovable protuberance [ 1 ] occurs when this joint becomes swollen or bossed.
unstable spinal fracture-dislocation at the thoracolumbar junction: Thoracic Spine Fractures and Dislocations at eMedicine: Hume fracture: A.C. Hume: olecranon fracture with anterior dislocation of radial head: Ronald McRae, Maxx Esser. Practical Fracture Treatment 5th edition, page 187. Elsevier Health Sciences, 2008.
The neck of a metacarpal is a common location for a boxer's fracture, but all parts of the metacarpal bone (including head, body and base) are susceptible to fracture. During their lifetime, 2.5% of individuals will experience at least one metacarpal fracture. Bennett's fracture (base of the thumb) is the most common. [4]
Its goal is to teach a simplified and standardized approach to trauma patients. Originally designed for emergency situations where only one doctor and one nurse are present, ATLS is now widely accepted as the standard of care for initial assessment and treatment in trauma centers. The premise of the ATLS program is to treat the greatest threat ...
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