Difference between revisions of "Finger (phalanx) fracture"

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==[[Distal Phalanx (Finger) Fracture]]==
 
==[[Distal Phalanx (Finger) Fracture]]==
===Examination===
 
* Evaluate for tendon damage
 
 
===Imaging===
 
* Comminuted tuft fx
 
** Stable
 
* Longitudinal fx
 
** Usually non-displaced and stable
 
* Transverse fx
 
** Evaluate for angulation/displacement
 
* Intraarticular fx
 
 
===Treatment===
 
* Nondisplaced: Splint with the DIP joint in extension (splint should extend past the tip of the distal phalanx
 
** Do not attempt to reduce comminuted tuft fx
 
 
===Dispo===
 
* Refer for:
 
** Tendon dysfunction
 
** Nerve dysfunction
 
** Displacement or angulation
 
** Intraarticular fx
 
  
 
==See Also==
 
==See Also==
*[[Fractures (Main)]]
+
*[[Hand Fracture]]
 
*[[Hand Diagnoses (Main)]]
 
*[[Hand Diagnoses (Main)]]
  

Revision as of 05:48, 4 January 2014

Background

  • Be wary of avulsion fx of base of phalanx
    • Lateral or medial fracture fragment = collateral ligament avulsion
    • Dorsal fracture fragment = extensor tendon avulsion
    • Palmar fracture fragment = volar plate avulsion
  • Flexion deformity of distal phalanx (mallet/baseball finger) = avulsion fx or extensor tendon rupture

Proximal Phalanx (Finger) Fracture

Middle Phalanx (Finger) Fracture

Distal Phalanx (Finger) Fracture

See Also

Source

UpToDate