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Middle Phalanx Fracture
Aka: Middle Phalanx Fracture
- Signs
- Volar or dorsal angulation
- Management: Reduction
- Anesthesia: Digital Block or Hematoma Block
- Reduce by traction and manipulation of finger
- Management: Post-Reduction of Fracture
- Immobilization after successful reduction
- Dorsal aluminum splint in extension for 6 weeks, then
- Buddy taping for an additional 6 weeks
- Post-Reduction Assessment
- Evaluate for even subtle rotation
- Methods
- Repeat finger XRay
- Flexed fingers should all point to Scaphoid (thenar eminence)

- Orthopedic referral indications
- Joint surface involved >30%
- Inadequate Fracture reduction (e.g. rotation)
- Intraarticular Fracture