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Phalanx Fractures are common hand injuries that involve the proximal, middle or distal phalanx. Diagnosis can be confirmed with orthogonal radiographs of the involve digit. Treatment involves immobilization or surgical fixation depending on location, severity and alignment of injury.
Fractures of the proximal phalanx can be complex owing to forces exerted on the fracture fragments by multiple muscles and tendons which often result in angular or rotational deformity. This topic review will discuss fractures of the proximal phalanx.
Splinting is useful for a variety of acute orthopedic conditions such as fractures, reduced joint dislocations, sprains, severe soft tissue injuries, and post-laceration repairs. The purpose of...
Apply a sugar-tong splint over the injured finger, starting at the top of the proximal phalanx and extending distally to the distal phalanx. Secure the splint with tape. Check for proper fit and alignment of the finger. Check for adequate immobilization of the fracture site.
Splint: -For proximal phalanx fractures, a hand-based P1-blocking splint is fashioned holding the MP joints of the injured fingers in the intrinsic plus position. Extend the splint to P2 for distal 1/3 or unstable fractures.
Option 1: Immobilization with palmar splint. In undisplaced fractures, a splint may be applied with the hand in an intrinsic plus (Edinburgh) position and the wrist in slight extension of 20-30 degrees. In compliant patients, only the fractured finger ray and the two adjacent rays are included in the splint.
Volar plate injuries should be splinted in a dorsal blocking splint (extension-limiting splint). Dorsal blocking finger splint for index or middle finger: after buddy taping as in the images above, a splint has been fashioned out of fibreglass and taped in place.
Other treatment methods for proximal phalangeal fractures included: aluminium splint alone without traction for four cases, strapping and mobilization for six cases, scaphoid slab after reduction for six cases, and surgical stabilisation in 11 cases.
Splinting . Depending on the severity of your fracture, a thermoplastic splint may be made for you to protect your joint and promote healing. Or you may be provided with a Bedford splint or advised to complete buddy strapping. Exercises .
Splint: -For proximal phalanx fractures, a hand-based P1-blocking splint is fashioned holding the MP joints of the injured fingers in the intrinsic plus position. Extend the splint to P2 for distal 1/3 or unstable fractures.
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