This patient sustained a proximal phalanx fracture on their left thumb. He had originally undergone closed reduction, but the outcome was not ideal. An open reduction internal fixation (ORIF) was carried out instead, with the images showing satisfactory alignment.

Phalanx fractures are commonly the result of crush injuries, as is the case with this patient. Depending on the location and type of the fracture, the prognosis and treatment is different. Hence, it is important that orthogonal views are obtained at the initial presentation, to assist in operative planning.