II. Signs
- Volar or dorsal angulation
III. Management: Reduction
- Anesthesia: Digital Block or Hematoma Block
- Reduce by traction and manipulation of finger
IV. 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