Middle phalanx fracture and periosteal reaction

Case contributed by Bahman Rasuli
Diagnosis certain


Pain and swelling of the right middle finger after a penetrating trauma two weeks ago.

Patient Data

Age: 60 years
Gender: Male

Non displaced fracture is present at middle finger middle phalanx base.

The thick and solid periosteal reaction also is seen at the palmar side of the middle phalanx.

Marked soft tissue swelling around the proximal and middle phalanx also is seen. 

Case Discussion

Middle phalanx fracture is the least common of the phalanx fractures.

This fracture is generally well detected on plain radiographs and can be treated conservatively with a splint fixating the interphalangeal joint for a period of 2 to 3 weeks.

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