Finger (phalanx) fracture: Difference between revisions

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==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]]==
{{Finger fracture types}}


==[[Middle Phalanx (Finger) Fracture]]==
==Clinical Features==
[[File:Broken finger.jpg|thumb|Unnatural angulation of a phalanx fracture.]]
*Pain and/or swelling of the digit


==[[Distal Phalanx (Finger) Fracture]]==
==Differential Diagnosis==
===Examination===
{{Hand and finger fractures DDX}}
* Evaluate for tendon damage


===Imaging===
==Management==
* Comminuted tuft fx
{{General Fracture Management}}
** 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 22:43, 22 March 2023

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

Finger (phalanx) fracture types

Clinical Features

Unnatural angulation of a phalanx fracture.
  • Pain and/or swelling of the digit

Differential Diagnosis

Hand and Finger Fracture Types

Management

General Fracture Management

See Also

References