Proximal phalanx (finger) fracture: Difference between revisions
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**If the ring finger is involved it should be [[buddy taped]] to the little finger | **If the ring finger is involved it should be [[buddy taped]] to the little finger | ||
**Dorsal or volar [[Finger Splint]] if desire added protection | **Dorsal or volar [[Finger Splint]] if desire added protection | ||
*Displaced or angulated | *Displaced or angulated fracture | ||
**Consider closed reduction | **Consider closed reduction | ||
***After reduction ensure that PIP joint is in extension, MCP is in flexion (to avoid contracture) | ***After reduction ensure that PIP joint is in extension, MCP is in flexion (to avoid contracture) | ||
| Line 25: | Line 25: | ||
**Intraarticular | **Intraarticular | ||
**Unstable | **Unstable | ||
***Spiral or oblique | ***Spiral or oblique fracture | ||
***Condylar | ***Condylar fracture | ||
***Neck | ***Neck fracture | ||
***Large avulsion | ***Large avulsion fracture | ||
**Rotated | **Rotated | ||
***NO degree of rotation is acceptable following a reduction | ***NO degree of rotation is acceptable following a reduction | ||
Revision as of 03:23, 8 July 2016
Background
Workup
- Examine the phalanx with the fingers in full extension and flexion
- Assess for malrotation
Imaging
- AP, lateral, oblique
- Examine for rotation, shortening, angulation
Differential Diagnosis
Hand and Finger Fracture Types
Treatment
- If requires ortho referral: Radial or ulnar gutter splint
- Nondisplaced, stable: Consider buddy taping the injured finger to an adjacent finger
- If the ring finger is involved it should be buddy taped to the little finger
- Dorsal or volar Finger Splint if desire added protection
- Displaced or angulated fracture
- Consider closed reduction
- After reduction ensure that PIP joint is in extension, MCP is in flexion (to avoid contracture)
- Consider closed reduction
Disposition
- Refer for:
- Intraarticular
- Unstable
- Spiral or oblique fracture
- Condylar fracture
- Neck fracture
- Large avulsion fracture
- Rotated
- NO degree of rotation is acceptable following a reduction
- Shortened
- Significantly angulated
- Less than 10 degrees may be tolerated
See Also
References
UpToDate