Additionally, the surgeon may perform a bone graft to aid in fracture healing. To keep the straightened bone in proper alignment, your surgeon may insert screws, plates, and/or pins. Depending on the type of malunion, some of the bone may need to be trimmed to allow for proper orientation of the fractured ends. While you are under anesthesia in the operating room, your surgeon will re-break the bone to realign the fracture. Surgery: The goal of treatment is to realign your bone in a position that improves the function of the upper extremity.If more information is needed, your doctor or mid-level provider may order a CT Scan or an MRI. Imaging: Usually, imaging of the site in question begins with X-rays.History and physical exam: Your doctor or mid-level health care provider will obtain a history of your problem and perform an appropriate physical exam to find the exact area of concern.Stiffness in finger, hand, wrist or elbow.Altered use or function of the involved limb.A finger that “scissors” onto or away from an adjacent finger.A wrist that does not flex or extend to allow normal use.Angulation (bend) and/or rotation of the fractured bone.These symptoms usually occur after the healing of the initial fracture/break: In addition, the University of Michigan is a Level 1 Trauma Center, which means you will receive the highest level of care by experts who regularly treat patients with complex fractures and multiple bone breaks. We are also part of the American Orthopaedic Association's Own the Bone Program to improve the care of fracture patients age 50 and up. Our goal is to restore you to pre-fracture function as much as possible, as well as improve your long-term bone health. If you fractured a finger, hand, wrist or elbow, and it has healed but no longer functions well, you should seek an opinion from a doctor who knows the upper extremity of the body well.įor decades the University of Michigan Department of Orthopaedic Surgery - one of the oldest and most well-regarded orthopaedic units in the nation - has provided excellent treatment for malunion fractures. Some examples of common upper extremity fractures that may result in malunion include fractures of the wrists (distal radius), hand bones (metacarpals), and fingers or thumbs (phalanges). In many cases, when a fracture heals in a position that interferes with the use of the involved limb, surgery can be performed to correct it. Doctors determine if the position of a fracture will allow for functional use of the hand or arm after it heals. With fractures in the hand, wrist and forearm, a certain amount of angulation, or bend, occurs when the bone heals. A malunion fracture occurs when a large space between the displaced ends of the bone have been filled in by new bone. If the two ends of the broken bone are not lined up properly, the bone can heal with a deformity called a malunion. After a bone is broken (fractured), the body will start the healing process.
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