Middle phalanx fracture
Last revised by Jeevan K Karuppannan on 21 Feb 2024
Citation, DOI, disclosures and article data
Citation:
O'Graphy T, K Karuppannan J, Ranchod A, et al. Middle phalanx fracture. Reference article, Radiopaedia.org (Accessed on 23 Apr 2024) https://doi.org/10.53347/rID-41776
Permalink:
rID:
41776
Article created:
19 Dec 2015,
Tom O'Graphy
Disclosures:
At the time the article was created Tom O'Graphy had no recorded disclosures.
View Tom O'Graphy's current disclosures
Last revised:
21 Feb 2024,
Jeevan K Karuppannan
Disclosures:
At 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 disclosures
Revisions:
13 times, by
10 contributors -
see full revision history and disclosures
Systems:
Tags:
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.
Proper identification and early referral to a hand surgeon can limit potential long-term complications that arise from avascularisation4.
Quiz questions
{"containerId":"expandableQuestionsContainer","displayRelatedArticles":true,"displayNextQuestion":true,"displaySkipQuestion":true,"articleId":41776,"questionManager":null,"mcqUrl":"https://radiopaedia.org/articles/middle-phalanx-fracture/questions/1284?lang=gb"}
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
Incoming Links
Articles:
Cases:
- Middle phalanx fracture
- Middle phalanx fracture
- Middle phalanx base dislocated fracture
- Middle phalanx fracture
- Middle phalanx base fracture
- Middle phalanx fracture
- Volar plate avulsion injury
- Distal phalanx fracture
- Middle phalanx fracture
- Middle phalanx fracture
- Middle phalanx fracture and periosteal reaction
- Middle phalangeal fracture
Multiple choice questions:
Related articles: Fractures
-
fracture
- terminology
- fracture location
- diaphyseal fracture
- metaphyseal fracture
- physeal fracture
- epiphyseal fracture
- fracture types
- avulsion fracture
- articular surface injuries
- complete fracture
- incomplete fracture
- infraction
- compound fracture
- pathological fracture
- stress fracture
- fracture displacement
- fracture location
- fracture healing
- skull fractures
-
facial fractures
- fractures involving a single facial buttress
- alveolar process fractures
- frontal sinus fracture
- isolated zygomatic arch fractures
- mandibular fracture
- nasal bone fracture
- orbital blow-out fracture
- paranasal sinus fractures
- complex fractures
- dental fractures
- fractures involving a single facial buttress
-
spinal fractures
- classification (AO Spine classification systems)
-
cervical spine fracture classification systems
- AO classification of upper cervical injuries
- AO classification of subaxial injuries
- Anderson and D'Alonzo classification (odontoid fracture)
- Roy-Camille classification (odontoid process fracture)
- Gehweiler classifcation (atlas fractures)
- Levine and Edwards classification (hangman fracture)
- Allen and Ferguson classification (subaxial spine injuries)
- subaxial cervical spine injury classification (SLIC)
- thoracolumbar spinal fracture classification systems
- three column concept of spinal fractures (Denis classification)
- classification of sacral fractures
-
cervical spine fracture classification systems
- spinal fractures by region
- spinal fracture types
- classification (AO Spine classification systems)
- rib fractures
- sternal fractures
-
upper limb fractures
- classification
- Rockwood classification (acromioclavicular joint injury)
- AO classification (clavicle fracture)
- Neer classification (clavicle fracture)
- Neer classification (proximal humeral fracture)
- AO classification (proximal humeral fracture)
- AO/OTA classification of distal humeral fractures
- Milch classification (lateral humeral condyle fracture)
- Weiss classification (lateral humeral condyle fracture)
- Bado classification of Monteggia fracture-dislocations (radius-ulna)
- Mason classification (radial head fracture)
- Frykman classification (distal radial fracture)
- Mayo classification (scaphoid fracture)
- Hintermann classification (gamekeeper's thumb)
- Eaton classification (volar plate avulsion injury)
- Keifhaber-Stern classification (volar plate avulsion injury)
- upper limb fractures by region
- shoulder
- clavicular fracture
-
scapular fracture
- acromion fracture
- coracoid process fracture
- glenoid fracture
- humeral head fracture
- proximal humeral fracture
- humeral neck fracture
- arm
- elbow
- forearm
- wrist
-
carpal bones
- scaphoid fracture
- lunate fracture
- capitate fracture
- triquetral fracture
- pisiform fracture
- hamate fracture
- trapezoid fracture
- trapezium fracture
- hand
- shoulder
- classification
- lower limb fractures
- classification by region
- pelvic fractures
- hip fractures
- Pipkin classification (femoral head fracture)
- Garden classification (hip fracture)
- American Academy of Orthopaedic Surgeons classification (periprosthetic hip fracture)
- Cooke and Newman classification (periprosthetic hip fracture)
- Johansson classification (periprosthetic hip fracture)
- Vancouver classification (periprosthetic hip fracture)
- femoral
- knee
- Schatzker classification (tibial plateau fracture)
- AO classification of distal femur fractures
- Meyers and McKeevers classification (anterior cruciate ligament avulsion fracture)
- tibia/fibula
- Watson-Jones classification (tibial tuberosity avulsion fracture)
- ankle
- foot
- Berndt and Harty classification (osteochondral lesions of the talus)
- Sanders CT classification (calcaneal fracture)
- Hawkins classification (talar neck fracture)
- Myerson classification (Lisfranc injury)
- Nunley-Vertullo classification (Lisfranc injury)
- pelvis and lower limb fractures by region
- pelvic fracture
- sacral fracture
- coccygeal fracture
-
hip
- acetabular fracture
- femoral head fracture
-
femoral neck fracture
- subcapital fracture
- transcervical fracture
- basicervical fracture
-
trochanteric fracture
- pertrochanteric fracture
- intertrochanteric fracture
- subtrochanteric fracture
- femur
- mid-shaft fracture
- bisphosphonate-related fracture
- distal femoral fracture
- knee
- avulsion fractures
- Segond fracture
- reverse Segond fracture
- anterior cruciate ligament avulsion fracture
- posterior cruciate ligament avulsion fracture
- arcuate complex avulsion fracture (arcuate sign)
- biceps femoris avulsion fracture
- iliotibial band avulsion fracture
- semimembranosus tendon avulsion fracture
- Stieda fracture (MCL avulsion fracture)
- patellar fracture
- tibial plateau fracture
- avulsion fractures
- leg
- tibial tuberosity avulsion fracture
- tibial shaft fracture
- fibular shaft fracture
- Maisonneuve fracture
- ankle
- foot
- tarsal bones
- metatarsal bones
- phalanges
- classification by region
- terminology
Unable to process the form. Check for errors and try again.