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Fracture Distal Radius


What is Fracture Distal Radius / Colles?


Fracture distal radius, earlier known as Colles fracture is a fracture of the distal inch of the radius bone. It is one of the commonest injuries. It may follow a trivial fall or on other occasions, it may be after a high-velocity injury.

Symptoms: There will be deformity of the wrist, pain, swelling and movement of the fingers may be painful.

Investigation: X-Rays of the wrist and the forearm are obtained. After assessing the X-Rays, the extent of the deformity is assessed.

At times, CT Scan or MRI Scan are required. Based on the extent of the deformity, the age of the patient and other associated injuries or diseases, the treatment options can be:

  • Plaster cast
  • Kirschner wire fixation
  • Plating
  • Stainless steel and titanium plates are available

Plaster cast as a modality of treatment.


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Plating as a modality of treatment.


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Kirschner wire as a modality of treatment.


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Hamate


What is Hamate?


Fracture Hamate, not a very common fracture. The bone has rotated by 180 degrees. By open reduction, the fractures were brought back into alignment and fixed with wires. The wires were removed after a few weeks.

Case Study


Before & After Surgery

 Dr Pankaj Jindal Hand Surgery  Dr Pankaj Jindal Hand Surgery  Dr Pankaj Jindal Hand Surgery

Hook Hamate


What is Hook Hamate?


Fracture Hook Hamate, not a very common condition. The patient presents with pain in a small focal area on the palmar aspect of the hand, just distal to the wrist crease but in line with the ring finger. X-ray called carpal tunnel view may at times pick up the fracture.

If this does not help, one may require a CT scan to diagnose the fracture. The fracture may irritate the ulnar nerve(Ulnar nerve neuropathy) and cause tingling in the small finger. The fracture may require surgery.

Either fixation or excision of part of the bone (HAMATE) alleviates the symptoms. When the skin is lost due to trauma or any other reason and the bone or tendon are exposed or the wound is deep with require a skin cover which has a blood supply. An island of skin which has its own blood supply is called a flap

Case Study


There is pain in the center of the wrist at the level of wrist joint. In this picture, the broken piece of bone called the Hook of the Hamate is dissected out.

 Dr Pankaj Jindal Hand Surgery  Dr Pankaj Jindal Hand Surgery

Bennett


What is Bennett?


A fracture of the first meta carpal resulting in a single piece of bone extending into the joint is called Bennett’s fracture. They usually require a surgery to restore the alignment.

Case Study


A fracture of the first meta carpal resulting in a single piece of bone extending into the joint is called Bennett’s fracture. They usually require a surgery to restore the alignment.

Before & After Surgery, the kirschner wires are holding the fracture in good alignment.

 Dr Pankaj Jindal Hand Surgery  Dr Pankaj Jindal Hand Surgery  Dr Pankaj Jindal Hand Surgery

Fractured Fingers


Case Study


The child sustained fracture to his fingers. The fractures were brought back to their alignment.

Before Surgery


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After Surgery


 Dr Pankaj Jindal Hand Surgery  Dr Pankaj Jindal Hand Surgery

Perilunate Injury


What is Perilunate Injury?


This injury occurs after a major fall, heavy fall from a height or in a high velocity road accident. Sustained a wrist injury. X-ray showed a Perilunate injury and median nerve injury. The surgery was done, median nerve was decompressed. The architecture of the wrist bones was restored.

Before Treatment


The bony configuration is altered and the lunate bone has popped out of alignment.

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During Treatment


Wire holding the bones in proper alignment. They are removed after 8 to 10 weeks.

 Dr Pankaj Jindal Hand Surgery  Dr Pankaj Jindal Hand Surgery

After Treatment


Final result, after wire removal.

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Trans Scaphoid Perilunate Dislocation


Case Study


This patient had a massive fall leading to a terrible wrist injury. X-rays showed a trans scaphoid perilunate injury.
This consisted of a fracture of the scaphoid bone and tear of multiple ligaments.
He visited several hospitals and ended up loosing some precious months!
We opted to create a new joint by a salvage procedure called proximal row carpectomy, this gave him a painless mobile wrist.

Before & After Surgery


 Dr Pankaj Jindal Hand Surgery  Dr Pankaj Jindal Hand Surgery

The delay in seeking treatment causes damage to the cartilage. Hence, a new joint is created by a procedure called Proximal Row Carpectomy, wherein a new articulation is created between capitate and radius

Open Finger Fracture


Case Study


This young man sustained a open fracture of the finger. There was a large wound in the front of the finger.

We converted contaminated wound into a clean wound. Primary fixation of the fracture was done with fixation device. Our fixation method allows early finger movements with immediate wound closure, the gentleman made a full recovery.

Before Surgery


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During Surgery


 Dr Pankaj Jindal Hand Surgery  Dr Pankaj Jindal Hand Surgery

After Surgery


 Dr Pankaj Jindal Hand Surgery  Dr Pankaj Jindal Hand Surgery

India's Top Rated Hand Surgeon

Dr. Pankaj Jindal, Master of Surgery in Orthopaedics. Fellowship in Hand Surgery, Microsurgery & Research in France & USA.

Dr. Pankaj Jindal

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