Crush & Laceration injury to the dorsum of his left non-dominant hand
Antwan sustained a crush & laceration injury to the dorsum of his left non-dominant hand and was referred to HandConsultSA by Dr Pelser, Orthopaedic Hand Surgeon. There was no skin loss but he fractured the base of the 2nd and 3rd metacarpals as well as a small avulsion fracture of the Capitate. ECU and EDC to the ring and little fingers were lacerated.
The 2nd Metacarpal fracture was impacted but stable. The 3rd metacarpal fracture was stabilized with a K wire into the shaft for 4 weeks. The ECU and EDC to RF & LF were repaired with multi strand 4 / 6 strand repairs. The dorsum of wrist capsule was repaired and the capitate fragment was removed.
Antwan was referred to Hand Therapy in the acute phase to protect the surgical repairs and rehabilitate his hand.
Treatment included post operative splinting, wound and edema management and the CMMS technique to mobilize the stiff hand.