Busch fracture

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Busch fracture
Malletfinger.jpg
Fracture of the dorsal base of the distal falange by extensor tendon avulsion (Busch fracture)
Specialty Orthopedic

In medicine a Busch fracture [1] is a type of fracture of the base of the distal phalanx of the fingers, produced by the removal of the bone insertion (avulsion) of the extensor tendon. Without the appropriate treatment, the finger becomes a hammer finger. It would correspond to the group B of the Albertoni classification. [2] It is very common in motorcycle riders and soccer joggers, caused by hyperflexion when the tendon is exercising its maximum tension (the closed hand tightening the clutch lever or the brake lever). [3] [4]

Contents

The Busch fracture is named after Friedrich Busch (1844–1916), who described this type of fracture in the 1860s. Busch's work was drawn on by Albert Hoffa in 1904, resulting in it sometimes being called a "Busch-Hoffa fracture". [5]

The mechanism of this injury can be described as an avulsion of the tendon fixed to the distal phalanx. [6] [7] [8]

Avulsion of the part of the distal phalanx to which the tendon is attached, a finger fracture Mallet finger mechanism.svg
Avulsion of the part of the distal phalanx to which the tendon is attached, a finger fracture
Appearance: the last joint cannot be straightened. See mallet finger Mallet Finger Injury.jpg
Appearance: the last joint cannot be straightened. See mallet finger

See also

Related Research Articles

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<span class="mw-page-title-main">Thumb</span> First digit of the hand

The thumb is the first digit of the hand, next to the index finger. When a person is standing in the medical anatomical position, the thumb is the outermost digit. The Medical Latin English noun for thumb is pollex, and the corresponding adjective for thumb is pollical.

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<span class="mw-page-title-main">Broken toe</span> Medical condition

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<span class="mw-page-title-main">Broken finger</span> Medical condition

A broken finger or finger fracture is a common type of bone fracture, affecting a finger. Symptoms may include pain, swelling, tenderness, bruising, deformity and reduced ability to move the finger. Although most finger fractures are easy to treat, failing to deal with a fracture appropriately may result in long-term pain and disability.

References

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