Presentation
Slammed right third finger in a door.
Patient Data
Age: 50-55Y
Gender: Male
From the case:
Phalangeal tuft fracture
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Frontal
Comminuted phalangeal tuft fracture of the third digit. The fracture does not extend into the DIP joint. Soft tissue swelling around the distal digit.
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Frontal
Zoomed in images of the comminuted phalangeal tuft fracture.
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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