Proximal phalanx (finger) fracture: Difference between revisions
No edit summary |
|||
| Line 1: | Line 1: | ||
== | ==Background== | ||
==Workup== | |||
* Examine the phalanx with the fingers in full extension and flexion | * Examine the phalanx with the fingers in full extension and flexion | ||
* Assess for malrotation | * Assess for malrotation | ||
| Line 6: | Line 8: | ||
* AP, lateral, oblique | * AP, lateral, oblique | ||
** Examine for rotation, shortening, angulation | ** Examine for rotation, shortening, angulation | ||
==Differential Diagnosis== | |||
{{Hand and finger fractures DDX}} | |||
==Treatment== | ==Treatment== | ||
Revision as of 08:04, 10 January 2015
Background
Workup
- Examine the phalanx with the fingers in full extension and flexion
- Assess for malrotation
Imaging
- AP, lateral, oblique
- Examine for rotation, shortening, angulation
Differential Diagnosis
Hand and Finger Fracture Types
Treatment
- If requires ortho referral: Radial or ulnar gutter splint
- Nondisplaced, stable: Consider buddy taping the injured finger to an adjacent finger
- If the ring finger is involved it should be buddy taped to the little finger
- Displaced or angulated fx
- Consider closed reduction
- After reduction ensure that PIP joint is in extension, MCP is in flexion (to avoid contracture)
- Consider closed reduction
Disposition
- Refer for:
- Intraarticular
- Unstable
- Spiral or oblique fx
- Condylar fx
- Neck fx
- Large avulsion fx
- Rotated
- NO degree of rotation is acceptable following a reduction
- Shortened
- Significantly angulated
- Less than 10 degrees may be tolerated
See Also
Source
UpToDate