The hand is made up of many bones that form its supporting framework. This frame acts as a point of attachment for the muscles that make the wrist and fingers move. A fracture occurs when enough force is applied to a bone to break it. When this happens, there is pain, swelling, and decreased use of the injured part. Many people think that a fracture is different from a break, but they are the same. Fractures may be simple with the bone pieces aligned and stable. Other fractures are unstable and the bone fragments tend to displace or shift. Fractures often take place in the hand. A fracture may cause pain, stiffness, and loss of movement. Some fractures will cause an obvious deformity, such as a crooked finger, but many fractures do not. Because of the close relationship of bones to ligaments and tendons, the hand may be stiff and weak after the fracture heals. Fractures that injure joint surfaces may lead to early arthritis in those joints.
Hand Fracture Treatment
Medical evaluation and x-rays are usually needed to tell if there is a fracture and to help determine the treatment. Depending upon the type of fracture, your treatment can vary. A splint or cast may be used to treat a fracture that is not displaced, or to protect a fracture that has been set. Some displaced fractures may need to be set and then held in place with wires or pins without making an incision. This is called closed reduction and internal fixation.
Hand Fracture Procedure
Other fractures may need surgery to set the bone (open reduction). Once the bone fragments are set, they are held together with pins, plates, or screws. Fractures that disrupt the joint surface (articular fractures) usually need to be set more precisely to restore the joint surface as smooth as possible. On occasion, bone may be missing or be so severely crushed that it cannot be repaired. In such cases, a bone graft may be necessary. In this procedure, bone is taken from another part of the body to help provide more stability.Sometimes bone graft substitutes may be used instead of taking bone from another part of the body.
Fractures that have been set may be held in place by an “external fixator,” a set of metal bars outside the body attached to pins which are placed in the bone above and below the fracture site, in effect keeping it in traction until the bone heals.
Once the fracture has enough stability, motion exercises may be started to try to avoid stiffness. Your hand surgeon can determine when the fracture is sufficiently stable.
For more information on Hand Fractures or to find out if it’s the right procedure for you, call Nazarian Plastic Surgery at (310) 659-0500 or Request a Consultation ». Our Beverly Hills location is conveniently located near major roads and freeways, so it’s easy to find our office.
A board certified plastic surgeon and member of the American Society of Plastic Surgeons and the University of Southern California faculty, Dr. Nazarian is the founder of Nazarian Plastic Surgery in Beverly Hills, Los Angeles. Known for her warmth and ability to put patients at ease, she helps patients explore available options to achieve their aesthetic goals.
Alexa Yontz, LE – Aesthetician and Med Spa Specialist
Alexa brings to Nazarian Plastic Surgery broad experience in the aesthetics and med spa industries. She has 25 years of industry knowledge, the last ten of which have been in medical aesthetics. Her additional five years of Coolsculpting® work, combined with her vast understanding in aesthetics, has enabled her to create an ideal, balanced treatment philosophy.
Mastaneh is certified in Coolsculpting, miraDry, Radiofrequency and Z-wave treatments Picosure, BBL, Laser Tattoo Removal, Acid peels, Botox and Dysport Injection as well as all Fillers. She loves to help her patients look and feel their best. She is known for her gentle manner and excellent results.
Sidnia is a licensed aesthetician and the first face you will see when you visit the office. A mother of two beautiful teenagers and a wife of 7 years, she brings efficiency and organization to our office. She is also a closet-makeup-aholic.
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What Our Clients Say About Us
Dr.Sheila Nazarian is the best plastic surgeon overall. I have never met such a nice, professsional and humble doctor like her.I had breast augmentation 5 days ago and I’m feeling great.Wow what a great experience with Dr . Nazarian. She is wonderful and very caring thru the whole process. Thanks Dr.for changing my appearance and helping me with every question I had. I totally recommend her to anyone who is looking for an excellent Dr. If I would of known about her before, I would of done this procedure years ago.This is my first time writing a review, but I had to share this experience because I know there are people looking for a good Dr they can trust. I am truly very happy with Dr . Nazarian. Again thank you very much for doing such a great job.
Dr. Nazarian is the a 5 star plastic surgeon! I had a growing scalp mass above my left ear, kinda like a cyst, she told me it was called lipoma. Anyway she removed the cyst in her office even when I was told by other doctors that it had to be done at a hospital which is more cost full and inconvenient for your wallet. She’s a great doctor and definitely recommend anyone to visit her office, her receptionist is on point and is very kind, helpful, and welcoming when visiting the office or calling about your appointment.
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