Middle phalanx fracture
Citation, DOI, disclosures and article data
At the time the article was created Tom O'Graphy had no recorded disclosures.
View Tom O'Graphy's current disclosuresAt the time the article was last revised Jeevan K Karuppannan had no financial relationships to ineligible companies to disclose.
View Jeevan K Karuppannan's current disclosuresMiddle phalanx fractures are the least common of the phalanx fractures.
Radiographic features
These fractures are generally well visualized on plain radiographs. Ultrasonography can be used in unclear cases.
Treatment and prognosis
Non-displaced fractures can be treated conservatively with a palmar or dorsal splint fixating the interphalangeal joints for a period of 2 to 3 weeks. It should not be longer to avoid the interphalangeal joints to become stiff, and because the majority of fractures are stable.
Displaced fractures or open fractures are treated surgically with fixation by Kirchner wires or very small screws.
Proper identification and early referral to a hand surgeon can limit potential long-term complications that arise from avascularisation4.
References
- 1. Chen F, Kalainov DM. Phalanx fractures and dislocations in athletes. (2017) Current reviews in musculoskeletal medicine. 10 (1): 10-16. doi:10.1007/s12178-017-9378-7 - Pubmed
- 2. Seno N., Hashizume H., Inoue H. et-al. FRACTURES OF THE BASE OF THE MIDDLE PHALANX OF THE FINGER. (1997) The Journal of Bone and Joint Surgery. British volume. 79 (5): 758-63. doi:10.1302/0301-620x.79b5.7664 - Pubmed
- 3. Ged G. Wieschhoff, Scott E. Sheehan, Jeremy R. Wortman et-al. Traumatic Finger Injuries: What the Orthopedic Surgeon Wants to Know. (2016) RadioGraphics. 36 (4): 1106-28. doi:10.1148/rg.2016150216 - Pubmed
- 4. Dalton J. McDaniel & Uzma H. Rehman. Phalanx Fractures of the Hand. StatPearls Publishing. 2023. https://www.ncbi.nlm.nih.gov/books/NBK557625/ - Pubmed
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