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Boxer's Fracture
A boxer's fracture is the break of the 5th metacarpal bones of the hand near the knuckle. Occasionally it is used to refer to fractures of the 4th metacarpal as well. Symptoms include pain and a depressed knuckle. Classically, it occurs after a person hits an object with a closed fist. The knuckle is then bent towards the palm of the hand. Diagnosis is generally suspected based on symptoms and confirmed with X-rays. For most fractures with less than 70 degrees of angulation, buddy taping and a tensor bandage resulted in similar outcomes to reduction with splinting. In those with more than 70 degrees of angulation or in which the broken finger is rotated, reduction and splinting may be recommended. They represent about a fifth of hand fractures. They occur more commonly in males than females. Both short and long term outcomes are generally good. The knuckle, however, typically remains somewhat deformed. Signs and symptoms The symptoms are pain and tenderness in the specifi ...
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Emergency Medicine
Emergency medicine is the medical speciality concerned with the care of illnesses or injuries requiring immediate medical attention. Emergency physicians (often called “ER doctors” in the United States) continuously learn to care for unscheduled and undifferentiated patients of all ages. As first-line providers, in coordination with Emergency Medical Services, they are primarily responsible for initiating resuscitation and stabilization and performing the initial investigations and interventions necessary to diagnose and treat illnesses or injuries in the acute phase. Emergency physicians generally practise in hospital emergency departments, pre-hospital settings via emergency medical services, and intensive care units. Still, they may also work in primary care settings such as urgent care clinics. Sub-specializations of emergency medicine include; disaster medicine, medical toxicology, point-of-care ultrasonography, critical care medicine, emergency medical services, hy ...
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Boxing
Boxing (also known as "Western boxing" or "pugilism") is a combat sport in which two people, usually wearing protective gloves and other protective equipment such as hand wraps and mouthguards, throw punches at each other for a predetermined amount of time in a boxing ring. Although the term "boxing" is commonly attributed to "western boxing", in which only the fists are involved, boxing has developed in various ways in different geographical areas and cultures. In global terms, boxing is a set of combat sports focused on striking, in which two opponents face each other in a fight using at least their fists, and possibly involving other actions such as kicks, elbow strikes, Knee (strike), knee strikes, and headbutts, depending on the rules. Some of the forms of the modern sport are western boxing, Bare-knuckle boxing, bare knuckle boxing, kickboxing, Muay Thai, muay-thai, lethwei, savate, and Sanda (sport), sanda. Boxing techniques have been incorporated into many martial ar ...
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Sports Injuries
Sports injuries are injuries that occur during sport, athletic activities, or exercising. In the United States, there are approximately 30 million teenagers and children who participate in some form of organized sport. Of those, about three million athletes age 14 years and under experience a sports injury annually. According to a study performed at Stanford University, 21 percent of the injuries observed in elite college athletes caused the athlete to miss at least one day of sport, and approximately 77 percent of these injuries involved the knee, lower leg, ankle, or foot. In addition to those sport injuries, the leading cause of death related to sports injuries is traumatic head or neck occurrences. When an athlete complains of pain, injury, or distress, the key to diagnosis is a detailed history and examination. An example of a format used to guide an examination and treatment plan is a S.O.A.P note or, subjective, objective, assessment, plan. Another important aspect of sp ...
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Injuries Of Wrist And Hand
An injury is any physiological damage to living tissue caused by immediate physical stress. An injury can occur intentionally or unintentionally and may be caused by blunt trauma, penetrating trauma, burning, toxic exposure, asphyxiation, or overexertion. Injuries can occur in any part of the body, and different symptoms are associated with different injuries. Treatment of a major injury is typically carried out by a health professional and varies greatly depending on the nature of the injury. Traffic collisions are the most common cause of accidental injury and injury-related death among humans. Injuries are distinct from chronic conditions, psychological trauma, infections, or medical procedures, though injury can be a contributing factor to any of these. Several major health organizations have established systems for the classification and description of human injuries. Occurrence Injuries may be intentional or unintentional. Intentional injuries may be acts of viole ...
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Bone Fractures
A bone fracture (abbreviated FRX or Fx, Fx, or #) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. In more severe cases, the bone may be broken into several fragments, known as a ''comminuted fracture''. A bone fracture may be the result of high force impact or stress, or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis, osteopenia, bone cancer, or osteogenesis imperfecta, where the fracture is then properly termed a pathologic fracture. Signs and symptoms Although bone tissue contains no pain receptors, a bone fracture is painful for several reasons: * Breaking in the continuity of the periosteum, with or without similar discontinuity in endosteum, as both contain multiple pain receptors. * Edema and hematoma of nearby soft tissues caused by ruptured bone marrow evokes pressure pain. * Involuntary muscle spasms trying to hold bone fragments in place. ...
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Fifth Metacarpal Bone
The fifth metacarpal bone (metacarpal bone of the little finger or pinky finger) is the most medial and second-shortest of the metacarpal bones. Surfaces It presents on its base one facet on its superior surface, which is concavo-convex and articulates with the hamate, and one on its radial side, which articulates with the fourth metacarpal. On its ulnar side is a prominent tubercle for the insertion of the tendon of the extensor carpi ulnaris muscle. The dorsal surface of the body is divided by an oblique ridge, which extends from near the ulnar side of the base to the radial side of the head. The lateral part of this surface serves for the attachment of the fourth Interosseus dorsalis; the medial part is smooth, triangular, and covered by the extensor tendons of the little finger. The palmar surface is similarly divided: Its lateral side (facing the fourth metacarpal) provides origin for the third palmar interosseus, its medial side contains the insertion of opponens digiti ...
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Fourth Metacarpal Bone
The fourth metacarpal bone (metacarpal bone of the ring finger) is shorter and smaller than the third. The base is small and quadrilateral; its superior surface presents two facets, a large one medially for articulation with the hamate, and a small one laterally for the capitate. On the radial side are two oval facets, for articulation with the third metacarpal; and on the ulnar side a single concave facet, for the fifth metacarpal. Clinical relevance A shortened fourth metacarpal bone can be a symptom of Kallmann syndrome, a genetic condition which results in the failure to commence or the non-completion of puberty. A short fourth metacarpal bone can also be found in Turner syndrome, a disorder involving sex chromosomes. A fracture of the fourth and/or fifth metacarpal bones transverse neck secondary due to axial loading is known as a boxer's fracture.Shultz, S. J., Houglum, P. A., Perrin, D. H. (2010). Examination of Musculoskeletal Injuries. Chicago: Human Kinetics Ossif ...
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Third Metacarpal Bone
The third metacarpal bone (metacarpal bone of the middle finger) is a little smaller than the second. The dorsal aspect of its base presents on its radial side a pyramidal eminence, the styloid process, which extends upward behind the capitate; immediately distal to this is a rough surface for the attachment of the extensor carpi radialis brevis muscle. The carpal articular facet is concave behind, flat in front, and articulates with the capitate. On the radial side is a smooth, concave facet for articulation with the second metacarpal, and on the ulnar side two small oval facets for the fourth metacarpal. Ossification The ossification process begins in the shaft during prenatal life, and in the head between 11th and 27th months. Additional images File:Third metacarpal bone (left hand) - animation01.gif, Third metacarpal bone of the left hand (shown in red). Animation. File:Third metacarpal bone (left hand) - animation02.gif, Third metacarpal bone of the left hand. Close ...
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Second Metacarpal Bone
The second metacarpal bone (metacarpal bone of the index finger) is the longest, and its base the largest, of all the metacarpal bones.''Gray's Anatomy'' (1918). See infobox. Human anatomy Its base is prolonged upward and medialward, forming a prominent ridge. It presents four articular facets, three on the upper surface and one on the ulnar side: * Of the facets on the upper surface: ** the ''intermediate'' is the largest and is concave from side to side, convex from before backward for articulation with the lesser multangular; ** the ''lateral'' is small, flat and oval for articulation with the greater multangular; ** the ''medial'', on the summit of the ridge, is long and narrow for articulation with the capitate. * The facet on the ulnar side articulates with the third metacarpal. The extensor carpi radialis longus muscle is inserted on the dorsal surface and the flexor carpi radialis muscle on the volar surface of the base. The shaft gives origin to the first palmar in ...
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Internal Fixation
Internal fixation is an operation in orthopedics that involves the surgical implementation of implants for the purpose of repairing a bone, a concept that dates to the mid-nineteenth century and was made applicable for routine treatment in the mid-twentieth century. An internal fixator may be made of stainless steel, titanium alloy, or cobalt-chrome alloy. or plastics. Types of internal fixators include: * Plate and screws * Kirschner wires * Intramedullary nails Open reduction Open Reduction Internal Fixation (ORIF) involves the implementation of implants to guide the healing process of a bone, as well as the open reduction, or setting, of the bone. ''Open reduction'' refers to open surgery to set bones, as is necessary for some fractures. ''Internal fixation'' refers to fixation of screws and/or plates, intramedullary rods and other devices to enable or facilitate healing. Rigid fixation prevents micro-motion across lines of fracture to enable healing and prevent infec ...
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Boxing Gloves
Boxing gloves are cushioned gloves that fighters wear on their hands during boxing matches and practices. Unlike "fist-load weapons" (such as the ancient cestus) which were designed as a lethal weapon, modern boxing gloves are non-lethal, designed to protect both the opponent's head and the fighter's hand during a bout. Sparring and other forms of boxing training have their own specialized gloves. History Ancient Middle-Eastern and Egyptian depictions of boxing circa 2000 BC showed contests where fighters had a band supporting the wrist. Early depictions of gloves in boxing date back to Minoan Crete circa 1500 BC. The use of hand protection in fighting contests undertaken for sport has been known since Ancient Greece. However, the gloves were very different from those of modern boxing, as was the sport itself. In Ancient Greece, it was common practice to tie strips of leather round the hands for protection. In Roman times, this developed into the gladiatorial cestus, with met ...
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