Difference between revisions of "Finger (phalanx) fracture"

(See Also)
 
(11 intermediate revisions by 4 users not shown)
Line 1: Line 1:
 
==Background==
 
==Background==
* Be wary of avulsion fx of base of phalanx
+
*Be wary of avulsion fracture of base of phalanx
** Lateral or medial fracture fragment = collateral ligament avulsion
+
**Lateral or medial fracture fragment = collateral ligament avulsion
** Dorsal fracture fragment = extensor tendon avulsion
+
**Dorsal fracture fragment = extensor tendon avulsion
** Palmar fracture fragment = volar plate 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]]==
+
==Types==
 +
*[[Proximal Phalanx (Finger) Fracture]]
 +
*[[Middle Phalanx (Finger) Fracture]]
 +
*[[Distal Phalanx (Finger) Fracture]]
  
==[[Middle Phalanx (Finger) Fracture]]==
+
==Differential Diagnosis==
 +
{{Hand and finger fractures DDX}}
  
==[[Distal Phalanx (Finger) Fracture]]==
+
==Management==
===Examination===
+
{{General Fracture Management}}
* 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 and Finger Fractures]]
 
*[[Hand Diagnoses (Main)]]
 
*[[Hand Diagnoses (Main)]]
  
==Source==
+
==References==
UpToDate
+
<References/>
  
[[Category:Ortho]]
+
[[Category:Orthopedics]]

Latest revision as of 02:56, 18 September 2019

Background

  • Be wary of avulsion fracture of base of phalanx
    • Lateral or medial fracture fragment = collateral ligament avulsion
    • Dorsal fracture fragment = extensor tendon avulsion
    • Palmar fracture fragment = volar plate avulsion

Types

Differential Diagnosis

Hand and Finger Fractures

Management

General Fracture Management

See Also

References