Diferencia entre revisiones de «Distal phalanx (finger) fracture»
(Created page with "==Examination== * Evaluate for tendon damage ==Imaging== * Comminuted tuft fx ** Stable * Longitudinal fx ** Usually non-displaced and stable * Transverse fx ** Evaluate for ...") |
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==Examination== | ==Background== | ||
==Clinical Presentation== | |||
===Examination=== | |||
* Evaluate for tendon damage | * Evaluate for tendon damage | ||
==Imaging== | ===Imaging=== | ||
* Comminuted tuft fx | * Comminuted tuft fx | ||
** Stable | ** Stable | ||
| Línea 10: | Línea 13: | ||
** Evaluate for angulation/displacement | ** Evaluate for angulation/displacement | ||
* Intraarticular fx | * Intraarticular fx | ||
==Differential Diagnosis== | |||
{{DDX distal finger}} | |||
==Treatment== | ==Treatment== | ||
Revisión del 12:00 30 sep 2014
Background
Clinical Presentation
Examination
- Evaluate for tendon damage
Imaging
- Comminuted tuft fx
- Stable
- Longitudinal fx
- Usually non-displaced and stable
- Transverse fx
- Evaluate for angulation/displacement
- Intraarticular fx
Differential Diagnosis
Distal Finger (Including Nail) Injury
- Distal interphalangeal dislocation (finger)
- Distal phalanx (finger) fracture
- Finger amputation
- Fingertip avulsion
- Finger infection
- Nailbed laceration
- Nail avulsion
- Subungual hematoma
Treatment
- Nondisplaced: Splint with the DIP joint in extension (splint should extend past the tip of the distal phalanx
- Do not attempt to reduce comminuted tuft fx
Disposition
- Refer for:
- Tendon dysfunction
- Nerve dysfunction
- Displacement or angulation
- Intraarticular fx
See Also
Source
UpToDate