Presentation
Pain and swelling of the right middle finger after a penetrating trauma two weeks ago.
Patient Data
Age: 60 years
Gender: Male
From the case:
Middle phalanx fracture and periosteal reaction
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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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