Common Hand Fractures & Dislocations

https://plasticsinpractice.com/ Hand fractures and dislocations are among the most common injuries encountered by plastic surgeons, and their management directly impacts long-term function. In this episode, we break down the essentials of diagnosis, treatment, and surgical decision-making for common fractures and dislocations of the hand, drawing on the landmark PRS review by Jones, Jupiter, and Lalonde. We focus on the core treatment philosophy: achieving full range of motion through fracture reduction with minimal dissection and early protected movement. From non-operative methods like buddy taping to surgical strategies involving K-wires, lag screws, and plating, we highlight when to operate and when conservative management suffices. Key topics include: Bennett & Reverse Bennett fractures: why anatomical reduction matters. Metacarpal shaft & neck fractures: acceptable angulation thresholds and fixation choices. Phalangeal fractures: risks of stiffness, early motion protocols, and fixation techniques. PIP joint dislocations: splinting, extension block pinning, and complex salvage options like volar plate arthroplasty or hemi-hamate grafting. Ulnar collateral ligament (UCL) injuries of the thumb: how to recognize and treat Stener lesions. This is a must-know topic for residents preparing for boards and anyone seeking practical pearls in hand trauma surgery. Instagram: https://www.instagram.com/plasticsinpractice/ Apple: https://podcasts.apple.com/us/podcast/plastics-in-practice-resident-review/id1835564216 YouTube: https://youtube.com/@plasticsinpractice?si=tqLInp5vvsJFKlRO Amazon: https://music.amazon.com/podcasts/8bef056e-7c87-4224-978e-7e691b04554a/ References: Jones NF, Jupiter JB, Lalonde DH. Common fractures and dislocations of the hand. Plast Reconstr Surg. 2012;130(5):722e–736e. doi:10.1097/PRS.0b013e318267d67a