Orthopedics Book

Intra-Articular Disorders

Cardiovascular Medicine

Fracture Management

Ligament

Rheumatology

Tendon

Infectious Disease Chapter related topics

Rheumatology Chapter related topics

Dermatology Chapter related topics

Anatomy Chapter related topics

Examination Chapter related topics

Procedure Chapter related topics

Symptoms Chapter related topics

//fpnotebook.com/

Middle Phalanx Fracture

Aka: Middle Phalanx Fracture
  1. Signs
    1. Volar or dorsal angulation
  2. Management: Reduction
    1. Anesthesia: Digital Block or Hematoma Block
    2. Reduce by traction and manipulation of finger
  3. Management: Post-Reduction of Fracture
    1. Immobilization after successful reduction
      1. Dorsal aluminum splint in extension for 6 weeks, then
      2. Buddy taping for an additional 6 weeks
    2. Post-Reduction Assessment
      1. Evaluate for even subtle rotation
      2. Methods
        1. Repeat finger XRay
        2. Flexed fingers should all point to Scaphoid (thenar eminence)
          1. OrthoHandPositionFistToScaphoid.jpg
    3. Orthopedic referral indications
      1. Joint surface involved >30%
      2. Inadequate Fracture reduction (e.g. rotation)
      3. Intraarticular Fracture

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree