Presentation
Window slammed on patient's hand.
Patient Data
Age: 55-60Y
Gender: Male
From the case:
Phalangeal tuft fractures
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Comminuted fractures of the third and fourth phalangeal tufts. No intra-articular extension. There is a splint around the distal third digit.
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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.
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