IC 303-2022: Team Physician Update: It’s Not a Knee or a Shoulder Injury, Am I Doing it Right?-Team Physician Update: It’s Not a Knee or a Shoulder Injury, Am I Doing it Right? (2/4)

Team Physician Update: It’s Not a Knee or a Shoulder Injury, Am I Doing it Right? (2/4)

Video Transcription

Video Summary

The video featured a talk by Dr. Drew, who discussed hand and wrist injuries. He focused on four common injuries, including scaphoid fractures, scapholunate tears, thumb ulnar collateral ligament (UCL) tears, and metacarpal fractures. For scaphoid fractures, Dr. Drew mentioned that blood supply is precarious to the scaphoid, making it difficult to predict if the fracture will heal. Surgical intervention is recommended for displaced fractures and fractures near the proximal pole, while non-displaced waist fractures in athletes can be managed with immobilization. Dr. Drew also talked about scapholunate tears, noting that they are challenging to treat as ligament injuries in the wrist heal poorly. Treatment options include pain management techniques and surgical intervention for complete tears. Thumb UCL tears were discussed, with Dr. Drew recommending surgery for high-level athletes to ensure predictable results. He advocated for a technique involving internal bracing to enhance stability and promote healing. Lastly, Dr. Drew mentioned the use of intramedullary screws for metacarpal fractures, highlighting their benefits in reducing the need for larger incisions and plates. However, he also expressed concerns about the potential for stress risers and complications. The video ended with a humorous anecdote about a patient gifting Dr. Drew a bottle of Armenian cognac with a picture of a hand on it.

Asset Caption

Steven Shin, MD, MMSc

Keywords

hand injuries

scaphoid fractures

scapholunate tears

thumb UCL tears

metacarpal fractures

surgical intervention