Finger (phalanx) fracture: Difference between revisions

Revision as of 05:48, 4 January 2014

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

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 ==[[Distal Phalanx (Finger) Fracture]]==
-===Examination===
-* 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==
-*[[Fractures (Main)]]
+*[[Hand Fracture]]
 *[[Hand Diagnoses (Main)]]