Distal phalanx near-amputation

Case contributed by Dr Derek Smith

Presentation

Mechanic, fixing car. Dropped heavy car part onto left hand. Patient stated that "the tip flipped up".

Patient Data

Age: 40
Gender: Male
X-ray

Complete transverse fracture of the left fifth distal phalanx with distal displacement. Soft tissue injury also visible. No other bony injury.

Case Discussion

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.

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Case information

rID: 33895
Published: 28th Jan 2015
Last edited: 7th Feb 2019
Inclusion in quiz mode: Included

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