Distal phalanx near-amputation
Mechanic, fixing car. Dropped heavy car part onto left hand. Patient stated that "the tip flipped up".
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Complete transverse fracture of the left fifth distal phalanx with distal displacement. Soft tissue injury also visible. No other bony injury.
1 case question available
The distal end of the digit did not have a neurovascular supply, indeed there was very little attaching the tip to the rest of the finger.
The digit was terminalised operatively.