Busch-Hoffa Fracture
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Busch-Hoffa Fracture
In medicine a Busch fracture is a type of fracture of the base of the distal phalanx of the fingers, produced by the removal of the bone insertion ( avulsion) of the extensor tendon. Without the appropriate treatment, the finger becomes a hammer finger. It would correspond to the group B of the Albertoni classification. It is very common in motorcycle riders and soccer joggers, caused by hyperflexion when the tendon is exercising its maximum tension (the closed hand tightening the clutch lever or the brake lever). The Busch fracture is named after Friedrich Busch (1844–1916), who described this type of fracture in the 1860s. Busch's work was drawn on by Albert Hoffa in 1904, resulting in it sometimes being called a "Busch-Hoffa fracture". The mechanism of this injury can be described as an avulsion of the tendon fixed to the distal phalanx. See also * Holdsworth fracture * Galeazzi fracture The Galeazzi fracture is a fracture of the distal third of the radius with disloca ...
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Medicine
Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others. Medicine has been practiced since prehistoric times, and for most of this time it was an art (an area of skill and knowledge), frequently having connections to the religious and philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healing, o ...
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Avulsion Injury
In medicine, an avulsion is an injury in which a body structure is torn off by either trauma or surgery (from the Latin ''avellere'', meaning "to tear off"). The term most commonly refers to a surface trauma where all layers of the skin have been torn away, exposing the underlying structures (i.e., subcutaneous tissue, muscle, tendons, or bone). This is similar to an abrasion but more severe, as body parts such as an eyelid or an ear can be partially or fully detached from the body. Skin avulsions The most common avulsion injury, skin avulsion often occurs during motor vehicle collisions. The severity of avulsion ranges from skin flaps (minor) to degloving (moderate) and amputation of a finger or limb (severe). Suprafascial avulsions are those in which the depth of the removed skin reaches the subcutaneous tissue layer, while subfascial avulsions extend deeper than the subcutaneous layer.Jeng, S.F., & Wei, F.C. (1997, May). Classification and reconstructive options in foot plant ...
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Hammer Finger
A mallet finger, also known as hammer finger or PLF finger or Hannan finger, is an extensor tendon injury at the farthest away finger joint. This results in the inability to extend the finger tip without pushing it. There is generally pain and bruising at the back side of the farthest away finger joint. A mallet finger usually results from overbending of the finger tip. Typically this occurs when a ball hits an outstretched finger and jams it. This results in either a tear of the tendon or the tendon pulling off a bit of bone. The diagnosis is generally based on symptoms and supported by X-rays. Treatment is generally with a splint that holds the fingertip straight continuously for 8 weeks. The middle joint is allowed to move. This should be begun within a week of the injury. If the finger is bent during these weeks, healing may take longer. If a large piece of bone has been torn off surgery may be recommended. Without proper treatment a permanent deformity of the finger m ...
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Albert Hoffa
Albert Hoffa (31 March 1859 – 31 December 1907) was a German surgeon, orthopedist and physiotherapist born in Richmond, Cape of Good Hope. He studied medicine at the Universities of Marburg and Freiburg, earning his doctorate with a thesis on nephritis saturnina. In 1886, he opened a private clinic for orthopedics, physiotherapy and massage in Würzburg, where in 1895 he became an associate professor at the university. In 1902 he succeeded Julius Wolff (1836-1902) at the department of orthopedics in Berlin. Hoffa is remembered for introducing an operation for congenital hip dislocations (1890), as well as for development of a system of massage therapy (Hoffa system). His name is associated with a condition known as "Hoffa's fat pad disease", being characterized by chronic knee pain primarily beneath the patella. In 1892 he founded the journal ''Zeitschrift für orthopädische Chirurgie''. Selected writings * ''Lehrbuch der Fracturen und Luxationen für Ärzte und Studierend ...
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Mallet Finger Mechanism
A mallet is a tool used for imparting force on another object, often made of rubber or sometimes wood, that is smaller than a maul or beetle, and usually has a relatively large head. The term is descriptive of the overall size and proportions of the tool, and not the materials it may be made of, though most mallets have striking faces that are softer than steel. Mallets are used in various industries, such as upholstery work, and a variety of other general purposes. It is a tool of preference for wood workers using chisels with plastic, metal, or wooden handles, as they give a softened strike with a positive drive. * Wooden mallets are usually used in carpentry to knock wooden pieces together, or to drive dowels ,chisels and to apply pressure on joints. A wooden mallet will not deform the striking end of a metal tool, as most metal hammers would. It is also used to reduce the force driving the cutting edge of a chisel, giving better control. Hardwood mallets are also used ...
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Mallet Finger Injury
A mallet is a tool used for imparting force on another object, often made of rubber or sometimes wood, that is smaller than a maul or beetle, and usually has a relatively large head. The term is descriptive of the overall size and proportions of the tool, and not the materials it may be made of, though most mallets have striking faces that are softer than steel. Mallets are used in various industries, such as upholstery work, and a variety of other general purposes. It is a tool of preference for wood workers using chisels with plastic, metal, or wooden handles, as they give a softened strike with a positive drive. * Wooden mallets are usually used in carpentry to knock wooden pieces together, or to drive dowels ,chisels and to apply pressure on joints. A wooden mallet will not deform the striking end of a metal tool, as most metal hammers would. It is also used to reduce the force driving the cutting edge of a chisel, giving better control. Hardwood mallets are also used ...
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Holdsworth Fracture
In medicine the Holdsworth fracture is an unstable fracture dislocation of the thoraco lumbar junction of the spine. The injury comprises a fracture through a vertebral body, rupture of the posterior spinal ligaments and fractures of the facet joints. The injury was described by Frank Wild Holdsworth in 1963. He described the mechanism of this injury as a flexion-rotation injury, and said that the unstable fracture dislocation should be treated by fusion Fusion, or synthesis, is the process of combining two or more distinct entities into a new whole. Fusion may also refer to: Science and technology Physics *Nuclear fusion, multiple atomic nuclei combining to form one or more different atomic nucl ... of the two affected vertebrae. See also * Busch fracture References Bone fractures {{injury-stub ...
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Galeazzi Fracture
The Galeazzi fracture is a fracture of the distal third of the radius with dislocation of the distal radioulnar joint. It classically involves an isolated fracture of the junction of the distal third and middle third of the radius with associated subluxation or dislocation of the distal radio-ulnar joint; the injury disrupts the forearm axis joint. Signs and symptoms Pain and soft-tissue swelling are present at the distal-third radial fracture site and at the wrist joint. This injury is confirmed on radiographic evaluation. Forearm trauma may be associated with compartment syndrome. Anterior interosseous nerve (AIN) palsy may also be present, but it is easily missed because there is no sensory component to this finding. A purely motor nerve, the AIN is a division of the median nerve. Injury to the AIN can cause paralysis of the flexor pollicis longus and flexor digitorum profundus muscles to the index finger, resulting in loss of the pinch mechanism between the thumb and index fing ...
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