Distal phalanx (finger) fracture

Revision as of 05:47, 4 January 2014 by Rossdonaldson1 (talk | contribs) (Created page with "==Examination== * Evaluate for tendon damage ==Imaging== * Comminuted tuft fx ** Stable * Longitudinal fx ** Usually non-displaced and stable * Transverse fx ** Evaluate for ...")
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Examination

  • Evaluate for tendon damage

Imaging

  • Comminuted tuft fx
    • Stable
  • Longitudinal fx
    • Usually non-displaced and stable
  • Transverse fx
    • Evaluate for angulation/displacement
  • Intraarticular fx

Treatment

  • Nondisplaced: Splint with the DIP joint in extension (splint should extend past the tip of the distal phalanx
    • Do not attempt to reduce comminuted tuft fx

Disposition

  • Refer for:
    • Tendon dysfunction
    • Nerve dysfunction
    • Displacement or angulation
    • Intraarticular fx

See Also

Source

UpToDate

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