Proximal phalanx (finger) fracture: Difference between revisions
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{{Hand and finger fractures DDX}} | {{Hand and finger fractures DDX}} | ||
== | ==Management== | ||
*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 | ||
Revision as of 04:14, 8 July 2016
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
Management
- 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 fracture
- 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 fracture
- Condylar fracture
- Neck fracture
- Large avulsion fracture
- Rotated
- NO degree of rotation is acceptable following a reduction
- Shortened
- Significantly angulated
- Less than 10 degrees may be tolerated
See Also
References
UpToDate