II. Mechanism
- Direct blow or axial load injury
III. Precautions
IV. Signs
- Volar angulation of Fracture site
- Rotational deformity if oblique Fracture
- Local swelling, Bruising and tenderness overlying Fracture
- Evaluate for malrotation (overlap deformity of affected finger when flexing fingers into a fist)
- Axes of all flexed fingers should point toward Scaphoid Bone or radial styloid (thenar eminence)
V. Imaging: XRay of Digit (AP, Lateral, Oblique)
- Evaluate for intraarticular, oblique, spliral or rotational Fractures (require orthopedic referral)
- Perform before and after manual reduction
VI. Management
- See Phalanx Fracture
- Reduction of transverse Fracture
- Apply traction away from tubercle of Scaphoid
- Flexion applied to distal fragment
- Immobilization for 4 weeks
- Splint in position of moderate flexion with ulnar gutter or radial gutter
- Open Reduction and Internal Fixation (ORIF) Indications
VII. References
- Perkins (2020) Crit Dec Emerg Med 34(10): 10-1
Images: Related links to external sites (from Bing)
Related Studies
| Concepts | Injury or Poisoning (T037) |
| SnomedCT | 297130008 |
| English | Fracture proxim phalanx finger, fracture of finger proximal phalanx, fracture of proximal phalanx of finger, fracture of proximal phalanx of finger (diagnosis), Fracture of proximal phalanx of finger, Fracture of proximal phalanx of finger (disorder) |
| Spanish | fractura de falange proximal de dedo de la mano (trastorno), fractura de falange proximal de dedo de la mano |
