Phalangeal tuft fracture

Case contributed by Dr Matt A. Morgan

Presentation

Crushed finger during athletic activity.

Patient Data

Age: 10-15Y
Gender: Male
Modality: X-ray

Predominantly longitudinal second digit phalangeal tuft fracture with likely extension into the DIP joint space. There is an oblique component to the fracture as well. Soft tissue swelling around the distal phalanx.

Case Discussion

Distal phalanx fractures and phalangeal tuft fractures constitute almost 50% of all hand fractures 1.

Dense fibrous connections in the distal digit around the phalangeal tuft mean that most phalangeal tuft fractures are stable and amenable to closed treatment. Many are managed non-operatively with splinting, but very comminuted fractures may require K-wire stabilization 2.

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Case Information

rID: 48243
Case created: 26th Sep 2016
Last edited: 27th Sep 2016
Inclusion in quiz mode: Excluded

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