Distal phalanx fracture

Distal phalanx fractures are common injuries that can result in an open fracture.

Radiographic features

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.


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Article Information

rID: 41775
Synonyms or Alternate Spellings:
  • Phalangeal tuft fracture
  • Distal phalangeal fracture

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Cases and Figures

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    Case 1: distal phalanx near-amputation
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    Case 2: with wrist fractures
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    Case 3: open Salter Harris type 1
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