Diferencia entre revisiones de «Middle phalanx (finger) fracture»
(Text replacement - "==Source==" to "==References== <references/>") |
(Text replacement - "fx " to "fracture ") |
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| Línea 36: | Línea 36: | ||
** Intraarticular fx | ** Intraarticular fx | ||
** Displaced or angulated fractures that cannot maintain their reduction | ** Displaced or angulated fractures that cannot maintain their reduction | ||
** Most spiral and oblique | ** Most spiral and oblique fracture (usually involve rotation or shortening and are unstable) | ||
==See Also== | ==See Also== | ||
Revisión del 01:03 3 jul 2016
Background
- Commonly associated with tendon injuries!
Examination
- Assess PIP, DIP flexion/extension
- Assess PIP, DIP collateral ligaments (varus/valgus stress)
Images
- AP, lateral, oblique
- Oblique and spiral fractures: evaluate for shortening/malrotation
Differential Diagnosis
Hand and Finger Fracture Types
Treatment
- Nondisplaced without angulation:
- Buddy tape to adjacent finger
- Buddy tape ring finger to little finger
- Dorsal or volar Finger Splint if desire added protection
- Buddy tape to adjacent finger
- Displaced or angulated fx
- 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
- Adequate reduction:
- Closed reduction
Disposition
- Refer for:
- Comminution
- Malrotation
- Intraarticular fx
- Displaced or angulated fractures that cannot maintain their reduction
- Most spiral and oblique fracture (usually involve rotation or shortening and are unstable)
See Also
References
UpToDate