Middle phalanx fracture

Middle phalanx fractures are the least common of the phalanx fractures.

Radiographic features

These fractures are generally well visualised 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.

Share article

Article information

rID: 41776
Synonyms or Alternate Spellings:

Support Radiopaedia and see fewer ads

Cases and figures

  • Drag
    Case 1
    Drag here to reorder.
  • Drag
    AP view
    Case 2: open fracture
    Drag here to reorder.
  • Drag
    Case 3: avulsion fracture at base of middle phalanx
    Drag here to reorder.
  • Updating… Please wait.

    Alert accept

    Error Unable to process the form. Check for errors and try again.

    Alert accept Thank you for updating your details.