Phalanx Fractures - Hand - Orthobullets
2024年8月16日 · Phalanx Fractures are common hand injuries that involve the proximal, middle or distal phalanx. Diagnosis can be confirmed with orthogonal radiographs of the involve digit. Treatment involves immobilization or surgical fixation depending on location, severity and alignment of injury.
Nonoperative treatment for Distal phalanx, distal and shaft, …
Most fractures of the distal phalanx can be treated nonoperatively. Nonoperative treatment is based on immobilization of the DIP joint in extension, leaving the PIP joint free. Fractures of the distal phalanx are often the result of direct impact, or crush injuries.
Distal phalanx fractures - UpToDate
2023年1月10日 · Distal phalanx fractures represent common sports and work-related injuries, accounting for approximately half of all hand fractures [1-3]. These fractures are commonly caused by trauma or crush injuries. The middle finger …
Splints and Casts: Indications and Methods - AAFP
2009年9月1日 · Splinting is useful for a variety of acute orthopedic conditions such as fractures, reduced joint dislocations, sprains, severe soft tissue injuries, and post-laceration repairs. The...
Fingertip Injuries - AAFP
2001年5月15日 · Closed fractures of the distal phalanx may require reduction but usually are minimally displaced and stable, and can be splinted. Open or intra-articular fractures of the distal phalanx...
Treatment of Phalangeal Fractures - Hand Clinics
2013年10月17日 · In adults, a closed fracture at the base of the distal phalanx is best treated by splinting the distal and middle phalanges with the distal interphalangeal joint extended for a minimum of 4 weeks. If the fracture is open, it is more likely to be rotationally unstable and may require K-wire insertion to provide internal stability.
Common Finger Fractures and Dislocations | AAFP
Uncomplicated distal phalanx fractures, caused by a crush injury to the end of the finger, require splinting of the distal interphalangeal joint for four to six weeks.
Hand Splint - StatPearls - NCBI Bookshelf - National Center for ...
2023年8月8日 · Phalanx fractures have a variety of splinting options. Splints are needed to treat fractures of the distal phalanx as well as avulsion fractures at the distal phalanx. Dorsal distal phalanx and hairpin splints are designed to immobilize the distal phalanx in these situations.
Clinical Practice Guidelines : Phalangeal Finger Fractures
On examination distal phalanx is in flexed position with no active extension of DIP joint (“extensor lag”). Tenderness over dorsal aspect of DIP joint. Management involves splinting the joint in neutral/ slight hyperextension (see at right); strictly avoid any flexion during the first 4-6 weeks, including during any splint changes.
An avulsed or extruded nail plate can be debrided and used as a biologic splint for distal phalanx and nail bed injuries. (A) The nail plate is prepared for reinsertion.
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