Ver el código de «Middle phalanx (finger) fracture»

==Background==
*Commonly associated with tendon injuries!

{{Finger fracture types}}

==Clinical Features==
*Pain and/or swelling of the digit

===[[Hand exam|Examination]]===
*Assess PIP, DIP flexion/extension
*Assess PIP, DIP collateral ligaments (varus/valgus stress)

==Differential Diagnosis==
{{Hand and finger fractures DDX}}

==Evaluation==
===Workup===
*AP, lateral, oblique finger x-ray
*Oblique and spiral fractures: evaluate for shortening/malrotation

===Diagnosis===

==Management==
{{General Fracture Management}}

===Nondisplaced without angulation===
*[[Buddy tape]] to adjacent finger
**[[Buddy tape]] ring finger to little finger
*Dorsal or volar [[Finger Splint]] if desire added protection

===Displaced or angulated fracture===
*Closed reduction
**Adequate reduction:
***<1-2mm displacement or shortening
***Up to 10 degrees of angulation
***No amount rotation
**Followed by [[Ulnar Gutter Splint]] or [[Radial Gutter Splint]]
***Wrist in 20-30 degrees of extension
***MCP joints in 70-90 degrees of flexion
***PIP and DIP joints flexed 5-10 degrees
****Decreases the force exerted by the FDS

==Disposition==
*Refer for:
**Comminution
**Malrotation
**Intraarticular fracture
**Displaced or angulated fractures that cannot maintain their reduction
**Most spiral and oblique fracture (usually involve rotation or shortening and are unstable)

==See Also==
*[[Finger (Phalanx) Fracture]]
*[[Hand Diagnoses (Main)]]

==References==
<references/>

[[Category:Orthopedics]]