OPEN EPIPHYSIOLYSIS OF THE UNGUAL PHALANX.
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The authors analyse the results of 10 amputations and 10 conservatives treatments for complex isolated trauma of the second ray. The localisation of this finger in the hand require an utilisation in "all or nothing" function. The comparison of the two series show that the amputated one's gives the best results as much for the function that for the cosmetic level. So, the non conservative treatment seems the better solution for the problems of complex trauma of the index finger.
Injuries to the small joints of the hand are prevalent in both professional and amateur athletes. The majority of these injuries result in partial tears of the capsular support structures and can be successfully treated by precise splinting followed by thorough rehabilitation. In contrast, optimal management of complex dislocations or complete ligament ruptures causing serious joint instability necessitates operative intervention to secure reduction and facilitate ligament healing. There is an enviable satisfaction in observing a recovered athlete perform to the limits of his or her abilities, unimpaired by any residual disability or deformity. This goal can only be achieved by the timely institution of skillful management.
Hand injuries in athletes are very common and usually do not prevent active participation in sports. For this reason, long-term permanent disability and permanent loss of function may develop if these injuries are not recognized and treated properly. The majority of metacarpal and phalangeal joint injuries respond well to closed aggressive early treatment, followed by intensive therapy and protective splinting, which allow the athlete to continue his or her sport participation without the undesirable effects of long-term or permanent loss of function to the hand.
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