Proximal phalanx (finger) fracture: Difference between revisions
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==Examination== | |||
* Examine the phalanx with the fingers in full extension and flexion | * Examine the phalanx with the fingers in full extension and flexion | ||
* Assess for malrotation | * Assess for malrotation | ||
==Imaging== | |||
* AP, lateral, oblique | * AP, lateral, oblique | ||
** Examine for rotation, shortening, angulation | ** Examine for rotation, shortening, angulation | ||
==Treatment== | |||
* If requires ortho referral: Radial or ulnar gutter splint | * If requires ortho referral: Radial or ulnar gutter [[splint]] | ||
* 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 | ||
* Displaced or angulated fx | * Displaced or angulated fx | ||
** Consider closed reduction | ** Consider closed reduction | ||
*** After reduction ensure that PIP joint is in extension, MCP is in flexion (to avoid contracture) | *** After reduction ensure that PIP joint is in extension, MCP is in flexion (to avoid contracture) | ||
==Disposition== | |||
* Refer for: | * Refer for: | ||
** Intraarticular | ** Intraarticular | ||
Revision as of 05:35, 4 January 2014
Examination
- Examine the phalanx with the fingers in full extension and flexion
- Assess for malrotation
Imaging
- AP, lateral, oblique
- Examine for rotation, shortening, angulation
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
- 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