How do you treat a phalanx fracture?
Treatment consists of open reduction and internal fixation of the intra-articular fracture with reinsertion of the profundus tendon. For fractures of the middle phalanx, if conservative treatment is not sufficient, then percutaneous pinning or open reduction using K-wires is used.
Do you need a cast for a proximal phalanx fracture?
Proximal phalanx fracture – undisplaced Your fracture can be treated with splinting, taping or casting (or a combination of all three of these). Generally a cast is only used for treating phalangeal fractures for children or individuals who will not be able to keep their fingers safely immobilised with a splint.
How long does it take for a proximal phalanx fracture to heal?
Many stable phalanx fractures can be treated nonoperatively through close monitoring until clinical healing is noted. Proximal phalanx fractures will often be clinically healed 4 weeks status post injury, at which time it is unlikely that the fracture will displace.
How is a distal phalanx fracture treated?
Open fracture of the distal phalanx often necessitates referral to an orthopedic or hand subspecialist because digital nerve block, wound debridement, irrigation and soft tissue repair are required. Often, soft tissue repair will suffice to stabilize the fracture.
Where is the base of the proximal phalanx?
The base end of the proximal phalanx is concave in shape where it connects to the metatarsal bone. The head of the proximal phalanx connects to the intermediate phalanx in a trochlear fashion that allows for articulation.
Does a distal phalanx fracture require surgery?
However, distal phalanx base fractures are considered unstable because of the insertion sites of the flexor and extensor tendons, and these fractures require surgery (16).
What causes proximal phalanx fracture?
Proximal phalanx fractures can be epiphyseal or shaft fractures and can be intra-articular or extra-articular. They are most often the result of forced rotation, hyperextension or direct trauma 2.
What is phalanx fracture?
A phalanx fracture is a crack or complete break in one of these bones. A phalanx fracture can happen when your finger or toe is hit, pulled, jammed, crushed, or twisted. It is also possible for a tumor or cyst to weaken the bone, causing it to break easily when injured.
How do you know if your distal phalanx is broken?
Fractures to the finger tip (distal phalanx) are common from smashing injuries to the fingernail. The symptoms of this type of injury may be swelling and bruising to the finger pad and purple-colored blood underneath the fingernail (subungual hematoma).
How long does a broken finger need to be splinted?
Usually a splint on a fractured finger is worn for about 3 weeks. You may need more x-rays over this time so that your doctor can monitor the progress of your finger as it heals.
How long does it take for a distal phalanx fracture to heal?
Healing: This normally takes approximately 4-6 weeks to heal. finger to be a bit achy and swollen for a couple of months after this type of injury. splint or you can strap your fingers together for comfort. It is important to use the hand and keep the rest of the finger bending to stop it becoming stiff.
What is the most common finger fracture?
Metacarpal fractures The most frequent fracture of the hand is a fracture of the small finger metacarpal neck, the so-called “boxer’s fracture” (Fig. 5).
What does a first distal phalanx fracture mean?
Often a distal phalanx fracture is a “tuft” fracture , which means that a small fragment or fragments of bone are chipped off the edge of the distal phalanx. These bone injuries do not require wiring or pinning, as they will heal by themselves. The significance of the injury is predominantly that your fingertip will be sore for longer.
Is the ankle proximal to the phalanges?
The first toe, also known as the great toe or hallux, is the only one to have two phalanges; the other lesser toes have three. These are known as the proximal phalanx (closest to the ankle) and the distal phalanx (farthest from the ankle).
What are proximal humerus fractures?
What is a proximal fracture of the humerus?
Proximal humerus fractures occur near the shoulder joint. The shoulder joint is a ball-and-socket joint, with the ball being the top of the humerus bone. Fractures of this ball are considered proximal humerus fractures. These fractures may involve the insertion of the important rotator cuff tendons.