Fractures of proximal phalanx

Case contributed by Tom O'Graphy
Diagnosis certain

Presentation

Farmer with direct trauma to the hand at work. Tolerating pain remarkably.

Patient Data

Age: 30
Gender: Male
x-ray

Fracture of the proximal phalanx of second and third finger. The 2nd is non displaced and seems stable but the 3rd is unstable and has a displacement and requires surgery.

Case Discussion

Treatment for the 2nd is in discussion - alone an orthopedic treatment can be done but often it is preferred to treat with surgery to obtain healing with a minimum of time of immobilization.

For the 3rd, it also has rotation clinically, which is a indication for surgical treatment.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.