Phalangeal tuft fractures

Case contributed by Dr Matt A. Morgan

Presentation

Window slammed on patient's hand.

Patient Data

Age: 55-60Y
Gender: Male
Modality: X-ray

Comminuted fractures of the third and fourth phalangeal tufts. No intra-articular extension. There is a splint around the distal third digit.

Zoomed-in images

Modality: X-ray

Zoomed in images.

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.

PlayAdd to Share

Case Information

rID: 48242
Case created: 26th Sep 2016
Last edited: 27th Sep 2016
Inclusion in quiz mode: Excluded

Updating… Please wait.
Loadinganimation

Alert accept

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

Alert accept Thank you for updating your details.