Phalangeal tuft fractures

Case contributed by Dr Matt A. Morgan


Window slammed on patient's hand.

Patient Data

Age: 55-60Y
Gender: Male

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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Case information

rID: 48242
Published: 26th Sep 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Excluded

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