A Multifaceted Physiotherapeutic Approach for Improving Hand Function in Post-traumatic Fracture Dislocation of Proximal Phalanx of Middle Finger of Left Hand: A Case Report
Correspondence Address :
Dr. Shifa Shakeel Sheikh,
Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Sawangi, Wardha-442001, Maharashtra, India.
E-mail: shifasheikh311@gmail.com
Hand phalangeal fractures are frequent injuries that present in the clinic and emergency room. Injuries to the phalanx may occur at the proximal, middle, or distal segments of the bone. Depending on the location, proximal phalanx fractures can develop a volar apex angulation. Soft-tissue damage, along with disruption of the finger, accompanies the phalangeal fracture. Treatment of the phalangeal fracture is contingent upon the type of displacement of the fracture. Displaced fractures are reduced by manipulation, followed by immobilisation in an aluminum splint. In later phases, Kirschner wire (K-wire) fixation is performed. The hand is an important functional unit. Hence, post-immobilisation rehabilitation of the phalangeal fracture is essential for everyday activities. In this case report, the multifaceted physiotherapeutic approach is employed in the rehabilitation of a 33-year-old man who presented with multiple bite wounds allegedly inflicted by a wild boar, with chief complaints of injuries on the third digit of the left hand leading to pain and restricted movement. Radiographs revealed a comminuted fracture of the third digit with fracture dislocation of the distal end of the proximal phalanx, requiring K-wire fixation and finger splinting. Post-fixation, finger Range Of Motion (ROM) reduced, and pain arose, prompting physiotherapy. The multifaceted approach in rehabilitation involves a range of interventions, including traditional methods like immobilisation and K-wire fixation, as well as adjunctive physiotherapy techniques such as the finger blocking technique and sensory motor training. This report showcases a successful multifaceted rehabilitation approach for a patient with a traumatic finger fracture, demonstrating the importance of integrating physical therapy and addressing both physical and functional impairments for optimal outcomes.
Finger blocking exercises, Phalangeal fracture, Rehabilitation, Sensory motor training
DOI: 10.7860/JCDR/2024/69147.19553
Date of Submission: Dec 17, 2023
Date of Peer Review: Feb 16, 2024
Date of Acceptance: Mar 26, 2024
Date of Publishing: Jun 01, 2024
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Dec 18, 2023
• Manual Googling: Feb 23, 2024
• iThenticate Software: Mar 25, 2024 (8%)
ETYMOLOGY: Author Origin
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