Ultrasound-guided management of hand fractures. Items such as hand putty and therapy balls can be great for doing this. Rehabilitation of metacarpal fractures involves regaining full mobility and strength, in particular of the intrinsic muscles of the hand. Rehabilitation exercises for a broken hand A Rolando fracture will require surgery to reduce (put back into place) the fragments of fractured bone. More complex fractures or those with a displacement of the bones may require surgery. Of course this depends on the type of fracture. Almost all closed thumb fractures can be immobilised in a thumb spica in plaster or fibreglass, and followed up in clinic by hand surgery in approximately one. They are treated with immobilization in a plaster cast or splint for a period of 2-6 weeks. Trim the splint proximally and distally to provide the best support and comfort.
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