Open fractures need urgent evaluation and treatment with tetanus prophylaxis and antibiotic therapy. It involves Kirchner wires by percutaneous pinning or open reduction, or very small screws and plates. Comminuted fractures are difficult to treat and need wires in traction. Surgical treatment of displaced proximal phalanx fracture after reduction is common because of instability and rotation trouble. It can be used for non-displaced fractures and for displaced fractures after orthopedic reduction and testing of stability. After that tape can be used if there is still some pain.įor proximal fractures, the splint needs to be longer and immobilize the metacarpophalangeal joint and the wrist.
Conservative treatment with splints is used for non-displaced fractures immobilizing the proximal and distal interphalangeal joints (but not the metacarpophalangeal). Non-operative treatment is generally the choice of treatment for fractures of the distal phalanx because of the small size. Treatment and prognosis Non-operative management It is possible to diagnose phalanx fractures with sonography using a linear probe, although it is not the first line (patient discomfort, difficult to read, hard to determine displacement). However, when radiography is unsure about the diagnosis, it is a potentially useful tool. The plain radiographic investigation of the fingers involves three projections (AP oblique and lateral). during ball sports). Crush injuries to the distal phalanx are also common and can result in nail trauma and open fractures.įracture-dislocations are possible when the fracture extends to the articular surface of the phalanx. They often result from direct trauma to the finger (e.g.
Image of skeletal, film, hospital - 225915648. Magnetic Resonance Imaging (MRI): Your provider might use an MRI to get a complete picture of the damage to your bones and the area around them. Photo about X-ray film of a patient with closed non displaced spiral fracture of right tibia (lower leg bone. Phalanx fractures can be intra or extra-articular and can occur at the base, neck, shaft or head of the phalanx. You’ll need at least one of a few imaging tests to take pictures of your fracture: X-rays: An X-ray will confirm any comminuted or other fractures, and show how damaged your bones are.
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