Daily Bolus of LR: Rotational deformity in hand fractures

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July 6, 2011 by dailybolusoflr

Assessing for Rotational Deformity

With fractures of the metacarpal and phalynx, it is important to assess for rotational deformity. This is also commonly referred to as 'scissoring' of the fingers and leads to decreased functional status as well as decreased strength and grip of the affected hand.

To assess:

* As the patient to slowly flex all of the fingers with palms upwards
* Fingers 2-5 should all point to the thenar eminence (or location of the scaphoid bone)
* When fingers overlap or look different compared to the unaffected side, concern for rotational deformity should arise

You can view the normal alignment here. . on page 296
http://www.practicalplasticsurgery.org/docs/Practical_30.pdf

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