Proximal phalanx (finger) fracture: Difference between revisions
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* Nondisplaced, stable: Consider [[buddy taping]] the injured finger to an adjacent finger | * 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 | ** 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 fx | * Displaced or angulated fx | ||
** Consider closed reduction | ** Consider closed reduction | ||
Revision as of 16:57, 10 November 2015
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 fx
- 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 fx
- Condylar fx
- Neck fx
- Large avulsion fx
- Rotated
- NO degree of rotation is acceptable following a reduction
- Shortened
- Significantly angulated
- Less than 10 degrees may be tolerated
See Also
Source
UpToDate