Finger (phalanx) fracture

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

Differential Diagnosis

Hand and Finger Fractures

• Non-thumb metacarpal fractures
  • Head
  • Neck
  • Shaft
  • Base
  • Boxer's fracture
• Thumb fracture
• Finger (Phalanx) Fracture
  • Proximal
  • Middle
  • Distal

See Also

• Hand and Finger Fractures
• Hand Diagnoses (Main)

Source

UpToDate