Distal phalanx fracture

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain

Presentation

History of pain and swelling at the left middle finger since yesterday after a crushing injury by a steel object at work, on examination: crushed wound at distal phalanx with nail bed hematoma.

Patient Data

Age: 30 years
Gender: Male
x-ray

A fracture in the distal phalanx of the left middle finger is seen on the PA view.

Case Discussion

  • Phalangeal fractures result from direct trauma (hammer, heavy object) or catching a finger in a closing door, or the toe is crushed between two rigid bodies.
  • Distal phalanx fractures are often accompanied by injury to the nail bed, nail avulsion, or subungual hematoma.

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