How is proximal phalanx fracture treated?

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.

What is phalanx fracture?

A phalanx is any bone of the fingers or toes. 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.

What is a P2 fracture of finger?

The middle phalanx (P2) is dislocated or subluxated dorsally, and the volar lip is fractured at its base. The “V” sign (arrow) indicates dorsal instability. Note that the volar plate (VP) attachment is involved in the fracture.

What is the most common finger fracture?

Finger Fractures The most common fracture of the hand is of the tip of the finger called the distal phalanx. It is one of the most common finger injuries. These injuries often occur as a result of a crush injury where the finger is caught between two objects.

Does a proximal phalanx fracture need surgery?

Middle/proximal phalanx fracture. Even with minimal displacement, these fractures are unstable and warrant fixation. Open reduction often is necessary to assure articular reduction. Unicondylar fractures may be treated with screw fixation.

How long does proximal phalanx fracture take to heal?

Proximal phalanx fractures will often be clinically healed 4 weeks status post injury, at which time it is unlikely that the fracture will displace. A method of qualifying this is lack of discomfort when direct manual pressure is applied to the injured bone.

What is a distal phalanx fracture?

Distal Phalanx Fractures The distal phalanx is the most commonly fractured bone of the hand. 5. The mechanism of fracture is usually a crush injury. On clinical examination, the fingertip is swollen and painful. Extensive soft tissue damage to the finger pulp with associated nail bed laceration may occur.

What is a Seymour fracture?

Seymour fractures are open, displaced juxta-epiphyseal fractures of the distal phalanx, with an overlying nail bed laceration that occur in children and adolescents with an open physis. This fracture occurs rarely, but its potential consequences are clinically significant.

How common are finger fractures?

Finger and metacarpal fractures are the most common sports-related fractures in adults and adolescents. If not treated properly, finger fractures and dislocations can have significant consequences, including poor function, chronic pain, stiffness, and deformity.