FOOSH or 'fall on the outstretched hand' is a common mechanism for hand & upper limb injury.
The injury sustained will depend on many factors. Age for instance; children are more likely to sustain an elbow dislocation, adults a scaphoid fracture and the elderly a distal radial or Colles fracture.
Some injuries which can be sustained from a FOOSH, include;
- fracture (Boxer's)
- soft tissue bruising, laceration, swelling
- fracture (Scaphoid, Colles, Smith's, Barton's)
- ligament (scapho-lunate, dorsal carpus, TFCC)
- dislocation (lunate, perilunate)
- dislocation (Essex-Lopresti)
- ligament (medial collateral, lateral collateral)
- fracture (radial hand & neck, olecranon, coronoid process)
- fracture (distal or proximal humerus, radius, Monteggia, Galeazzi)
- dislocation (A/C joint)
- rotator cuff or labral tear
- fracture (clavicle)
Treatment will depend upon the injury. In the early stages there may be the need to immobilise or keep still using a splint or sling.
Managing swelling & pain is important to prevent unnecessary stiffness.
Movements are incorporated when safe.
Strengthening and advice to assist getting back to normal hand and arm use ensure the best outcomes.