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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.
Surgical treatment of proximal phalanx fractures must always be an individualized therapeutic decision. However, surgical proximal phalanx fracture care is most frequently recommended when: Closed reduction fails or the simple splint or cast immobilization does not maintain the reduction.
Nonsurgical treatment of phalangeal fractures typically involves closed reduction if indicated, buddy taping to adjacent finger for stabilization and/or splinting versus casting for a short period of immobilization, and then progressive motion and rehabilitation.
Treatment of phalangeal fractures depends on the characteristics of the fracture, condition of the soft tissue envelope, associated injuries, patient functional requirements, and surgeon familiarity and comfort with various techniques.
Uncomplicated middle and proximal phalanx fractures, typically caused by a direct blow, can be treated with buddy splinting if there is minimal angulation (less than 10 degrees); however,...
In this chapter, intervention options are reviewed focusing on restoration of finger function and to a lesser extent on exact reposition of the fractured digit. Conservative treatment and immediate mobilization are first choice for undisplaced fractures.
The primary goals of phalangeal fracture treatment are to restore anatomy and preserve function. Lost productivity attributed to these fractures exceeds $2 billion every year, making early return to activities a key goal as well.
Phalangeal fractures that are nondisplaced or stable after reduction are amenable to closed treatment with splinting and early rehabilitation. Indications for operative treatment of...
We reviewed the most current literature on various treatment methods of proximal phalanx fractures, focusing on the indications and outcomes of nonoperative as well as operative interventions. Stable fractures can be successfully treated nonoperatively, whereas unstable injuries benefit from surgery.