Finger (phalanx) fracture: Difference between revisions
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==Background== | ==Background== | ||
* Be wary of avulsion | *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 | ||
{{Finger fracture types}} | |||
==Clinical Features== | |||
[[File:Broken finger.jpg|thumb|Unnatural angulation of a phalanx fracture.]] | |||
*Pain and/or swelling of the digit | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Hand and finger fractures DDX}} | {{Hand and finger fractures DDX}} | ||
==Management== | |||
{{General Fracture Management}} | |||
==See Also== | ==See Also== | ||
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*[[Hand Diagnoses (Main)]] | *[[Hand Diagnoses (Main)]] | ||
== | ==References== | ||
<References/> | |||
[[Category: | [[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
- Proximal Phalanx (Finger) Fracture
- Middle Phalanx (Finger) Fracture
- Distal Phalanx (Finger) Fracture
Clinical Features
- Pain and/or swelling of the digit
Differential Diagnosis
Hand and Finger Fracture Types
Management
General Fracture Management
- Acute pain management
- Open fractures require immediate IV antibiotics and urgent surgical washout
- Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
- Consider risk for compartment syndrome