# Crushing Consequences: A Case Report on the Rehabilitation of a Middle Phalangeal Fracture in an Industrial Incident

## TL;DR

This case report details the successful rehabilitation of a middle phalangeal fracture in an industrial worker using a comprehensive physiotherapy protocol.

## Contribution

The report highlights a rehabilitation approach combining K-wire fixation and physiotherapy techniques like MWM for hand fracture recovery.

## Key findings

- The patient showed significant improvements in pain levels and range of motion after four weeks of rehabilitation.
- The rehabilitation protocol enhanced grip strength and overall quality of life.
- Mulligan's mobilization with movement concept facilitated rapid pain relief and movement restoration.

## Abstract

Hand injuries, particularly fractures involving the phalanges and metacarpals, are common occurrences in various settings, including industrial environments. Prompt and effective management of these injuries is crucial to minimize long-term disability and facilitate return to work. This case report focuses on the rehabilitation of a middle phalangeal fracture in an industrial worker following Kirschner wire (K-wire) fixation. The patient, a 24-year-old male, sustained the injury while operating an electric stamping machine. Emergency surgery was performed to stabilize the fracture, and subsequent physiotherapy was initiated due to persistent difficulties in hand function. The rehabilitation protocol aimed to address pain, improve range of motion, and enhance grip strength through passive range of motion exercises, movement with mobilization techniques, blocking exercises, and grip strengthening exercises. Mulligan's mobilization with movement (MWM) concept was incorporated to facilitate rapid pain relief and movement restoration. Follow-up assessments after four weeks of rehabilitation revealed significant improvements in pain levels, range of motion, strength, and overall quality of life. The case underscores the importance of timely intervention and comprehensive rehabilitation strategies in managing traumatic hand injuries in industrial settings, aiming to optimize treatment outcomes and promote successful return to work.