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July 1960

Conservative Treatment of Certain Fractures in the Hand

Author Affiliations

Salt Lake City
Consultant in Surgery of the Hand, Utah Crippled Children's Service; Clinical Instructor in Surgery, College of Medicine, University of Utah; Attending Surgeon, St. Mark's Hospital.

Arch Surg. 1960;81(1):155-172. doi:10.1001/archsurg.1960.01300010157029

Injuries to the bones of the hand occur with greater frequency than do injuries to any other bones in the body. Inasmuch as most physicians treat these fractures, our armamentarium has been greatly enlarged, thanks to the varied experience of the many contributors. However, whereas there is general acceptance of fundamental principles of treating the baseball-type of injury and the fractured heads of the second, third, fourth, and fifth metacarpals, there is as yet no universally accepted treatment for the several other fractures of the hand. The exhibit analyzes the physiological anatomy of the hand, outlines the more obvious causes for poor results of treatment of these fractures, and points out a concept by which these other fractures may be treated by a closed technique.

The closed technique is used for closed fractures and also for the treatment of compound and comminuted fractures after cleansing and closure of the skin.

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