Common Hand Fractures - Christian Zaino, MD

Dr. Christian Zaino, a well-known fellowship trained orthopedic surgeon who practices at Morristown Medical Center delivers a broad overview of common and fractures touching upon the limited role of antibiotics in open fractures cases and the challenges of intramedullary fixation.
Learning Objectives:
1. Understand when antibiotics are not needed in open distal phalanx fractures.
2. Recognize the difference between minor and severe PIP fractures
3. Become aware of intramedullary screw fixation for metacarpal fractures.

[@Paul-ku5xt]

Is physical therapy necessary once they pull out the pin does it honestly help in the long run or not so much

[@DanielGennaro]

I actually fractured my pinky finger at the base of my proximal phalanx. It healed with a malunion as well as a hyper extension and rotation. It doesn’t really affect my day today, a little stiffness in my PIP joint, but I’m also a guitar player and it really annoys me because of the way it sits up higher. I actually had a pre-authorization that would’ve fully cover the surgery, but mostly every single surgeon I went to told me it is a major risk to do it. I still wish I could take the chance, but they would have to completely saw the bone and realign it with pins. Who knows what other kind of damage they could do.

[@stephaniejuarez2586]

you don’t want to miss this

[@ravichandra4773]

sir I have met with an accident and my little finger(middle phalanges) was broken and doctor treated me with a splint. sir after healing ,the healed bone gains normal bone strength and is there any chance to break while punching after healing?

[@YBCannonz]

Still can’t make a full fist. Broke my distal phalanx on my index finger almost a year ago smh

[@siro8472]

how is it now. i also cant make a full fist after 6 weeks after dip dislocation of middle finger

[@YBCannonz]

@@siro8472 I would say it’s 90% normal. Will never be 100% I believe

[@siro8472]

@@YBCannonz did you have a surgery for the fracture? and after that splint and then therapy? how did it improve over time and with what measures? 90% sounds good. Is this not a fist with just a small hole? I am really depressed right now because this happened to me. just one moment not paid attention and the accident happened. i try to get the best possible result.