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A Busch fracture is a specific type of finger fracture where the base of a distal phalanx is affected. [5] Without adequate treatment, it can become a mallet finger . On the index finger, a fracture of the shaft that does not affect the joint.
Joints of the hand, X-ray Interphalangeal ligaments and phalanges. Right hand. Deep dissection. Posterior (dorsal) view. The PIP joint exhibits great lateral stability. Its transverse diameter is greater than its antero-posterior diameter and its thick collateral ligaments are tight in all positions during flexion, contrary to those in the metacarpophalangeal joint.
In medicine a Busch fracture [1] is a type of fracture of the base of the distal phalanx of the fingers, produced by the removal of the bone insertion of the extensor tendon. Without the appropriate treatment, the finger becomes a hammer finger. It would correspond to the group B of the Albertoni classification. [2]
As with any skeletal injury, an x-ray can be conducted to verify the presence of a fracture. [1] The distal phalanx is especially vulnerable to avulsion fractures, where a fragment of bone is ripped off when the tendon separates from the phalanx. [1] Avulsion fractures are especially common following a first time dislocation. [1]
The thumb and large toe do not possess a middle phalanx. The distal phalanges are the bones at the tips of the fingers or toes. The proximal, intermediate, and distal phalanges articulate with one another through interphalangeal joints of hand and interphalangeal joints of the foot. [4]: 708–711 : 708–711
The neck of a metacarpal is a common location for a boxer's fracture, but all parts of the metacarpal bone (including head, body and base) are susceptible to fracture. During their lifetime, 2.5% of individuals will experience at least one metacarpal fracture. Bennett's fracture (base of the thumb) is the most common. [4]
Some fractures, however, cannot be held in a satisfactory position by this method, and require some additional form of fixation. This is the usual situation with all displaced fractures of the first metacarpal and of the proximal phalanges of the hand, and of about two thirds of fractures of the distal end of the radius. Percutaneous pinning is ...
The fourteen phalanges make up the fingers and thumb, and are numbered I-V (thumb to little finger) when the hand is viewed from an anatomical position (palm up). The four fingers each consist of three phalanx bones: proximal, middle, and distal. The thumb only consists of a proximal and distal phalanx. [11]