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Our hands and fingers are constantly exposed during daily tasks, placing them at high risk for injury. Crush injuries result from high-energy trauma, affecting people of any age. According to hand, the majority of hand trauma injuries in children are to the fingertips. A crush injury of the hand is a way of injuring the hand that can damage important structures such as bone, ligaments, blood vessels and nerves. Physiotherapy is a beneficial treatment following a crush injury to the hand. What can cause a crush injury of the hand? Crush injuries are usually caused by a heavy object falling on the hand or the. Six weeks ago while working in my back yard i dropped a large piece of flagstone (about 50 lbs) on my thumb. The brunt of the impact was to the thumb joint, the top of my thumb and thumb nail were relatively unaffected. There are many kinds of fingertip injuries, from crushed fingertips (hit with a hammer, smashed in the car door, and other things that are just too painful to think about!) to cuts all the way to various levels of amputation. This page will only discuss crush injuries, not fingertip amputations. Gamekeepers suffered chronic injury due to wringing the necks of game between their thumb and index finger. Nowadays this is a much more common injury in skiers who fall against the ski-polestrap or ground while the thumb is abducted, and so it is seen as an acute injury. Crush injuries are common in car mishaps, falls and in any scenario that can lead to a structure collapsing. But there are also varying degrees of crush injuries, from knocking a finger in a door to limbs being caught and squashed for an extended period of time. If 10 days following your injury you are unable to use the hand and it remains painful and swollen, despite following the above advice, please contact the physiotherapy team. Thumb disorders or an injured thumb can usually be treated via conservative methods like splinting and rest. And if that fails, surgery is usually an option for improving if not fully correcting the thumb injury so that you can open a door, lift a baby or swing a bat free of pain.   a common toddler and child injury is when the fingers or hand get crushed by a door or a falling heavy object. Such injuries usually dont require an after hours call to your doctor or a trip to the er. Here is what you can do to assess and treat your childs injury until your doctors office opens. Gamekeepers thumb (also known as skiers thumb or ucl tear) is a type of injury to the ulnar collateral ligament (ucl) of the thumb. The ucl may be merely stretched, or it may be torn from its insertion site into the proximal phalanx of the thumb in approximately 90 of cases part of the bone is actually avulsed from (sheared away from) the joint.

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