Distal phalanx fracture
Distal phalanx fractures are common injuries that can result in an open fracture.
The fracture is easily seen, especially when intra-articular. Carefully evaluate the soft tissues for nail injury.
Treatment and prognosis
The majority of distal phalanx fractures are non-displaced and can be treated conservatively. Closed fractures are generally stable, especially when extra-articular. For these fractures simple bandage is used during consolidation.
Open fractures with or without ungual trauma must be repaired carefully and sometimes need pinning with a Kirschner wire (K-wire), nail bed suture or replacement of the nail. Antibiotic therapy and tetanus prophylaxis is indicated.
Wrist and hand fractures
- wrist and hand fractures (Amsterdam wrist rules)
- distal radial fracture (Frykman classification)
- distal ulna fractures
- fracture dislocations of the radius and ulna
- carpal fractures
- metacarpal fractures
- phalanx fractures