After the finger is damaged, the last part of the finger cannot be extended actively, passively, and the fingers bent down like a hammer head. Classification: 1. Wehbe´ and Schneider Classification according to lateral X-rays.

Finger is like a hammer!

After the finger is damaged, the last part of the finger cannot be actively straightened, passively can be straightened, and the fingers bent down like a hammer head. Bending is not affected. The last joint may have some swelling.

Hammer-shaped finger is avulsion at the end of the finger extensor tendon or accompanied by fracture of the dorsal joint edge of the distal phalanx. It is generally caused by acute flexion force contusion in the extension position, which is common in the little finger, ring finger and middle finger. If not treated, it may develop gooseneck deformity and loose finger extension device.

typing:

, Wehbe´ and Schneider According to the lateral X-ray performance, typing

  • I: There is no subluxation of the distal interphalangeal joint
  • II: There is subluxation of
  • III: There is metaphyseal and backbone injury

. According to the size of the fracture block:

  • a: less than 1/3 joint surface
  • b: 1/3-2/3 joint surface
  • c: greater than 2/3 joint surface

Treatment method

, conservative treatment

Select splint (i.e. brace) fixes the finger in the appropriate position

, surgical treatment

(1) Percutaneous (not incision) dorsal blocking nail surgical fixation, the disadvantage is that there is still some rotation that cannot be corrected

(2) Steel The ventral button of the wire is added to fix it or directly fix it on the Kwister needle

(3) Anchor fixation Kwister needle fixation

(4) Re-suited or overlapped suture after scarred tendon removal.

Generally, after 6 weeks of fixation, the external fixation or removal of the K-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-S-N-

My character sketch

My efforts are for your health!

Your health is my biggest gain!

Yuncheng County People's Hospital was founded in 1949. It is a Level 3 B comprehensive hospital integrating medical care, teaching and scientific research. It has an annual outpatient visits of 550,000 and 40,000 discharged patients.

Yuncheng County People's Hospital orthopedic diagnosis and treatment technology has been rapidly improved, and a green channel for trauma center has been opened. There are more than 1,500 surgical patients this year. In addition to routine surgery, minimally invasive surgery has developed rapidly. Arthroscopy, vertebral shaping, femoral trochanter closed reduction and fixation, hip and knee replacement, spine and other surgeries are at the leading level in the city.

Orthopedics upholds the spirit of "unity, diligence, pioneering and dedication" and strives to make greater contributions to the physical and mental health of the people in the county.

Chen Chengyu, party member, deputy chief physician, undergraduate degree in Qingyi, deputy director of orthopedics, and subject leader. Specializes in hip and knee replacement; minimally invasive surgery under shoulder and knee, etc. He is good at limb fractures, finger replantation, flap transplantation, various fractures and spinal surgery. I have studied further for many years and accumulated rich experience in trauma joints and sports medicine. We have performed toe reconstitution fingers and various flap surgeries for the first time in our hospital and surrounding counties; we have taken the lead in carrying out knee replacement and arthroscopic surgery for . He has published more than 10 papers at home and abroad, participated in the compilation of 2 surgical books and 2 scientific research projects. He is currently a member of the Orthopedic Branch of the Heze Medical Association of Shandong Province; Orthopedic Group; Sports Medicine Group; Youth Committee of the Orthopedic Branch and the Grassroots Committee of the Shandong Geront Medicine Association.

I All day orthopedic specialist clinic (2nd floor of the outpatient complex building). You can go to the orthopedic ward on the 12th floor to find me during surgery most of the time, so it is best to arrive at the ward before 8 am or 2 pm.