Pediatric Proximal Phalanx Fractures

Dorsally angulated proximal phalanx fractures: closed reduction and rigid fixation using a reversed extension splint.

Dorsally angulated proximal phalanx fractures have always presented a difficulty for treatment. A variety of options for treatment have been tried in the past, many of these are operative options and therefore carry the risks of a surgical procedure. We present a case of a conservatively managed proximal phalanx fracture using a reversed dynamic or static finger extension splint, such as Roylan...

Fractures of the proximal phalanx and metacarpals in the hand: preferred methods of stabilization.

Treatment of fractures of the proximal phalanx and metacarpals is based on the presentation of the fracture, degree of displacement, and difficulty in maintaining fracture reduction. A wide array of treatment options exists for the variation in fracture patterns observed. Inherently stable fractures do not require surgical treatment; all other fractures should be considered for additional stabi...

Treatment of fractures of the proximal phalanx of long fingers with an isometric traction splint.

Treatment of fractures of the proximal phalanx of the long fingers remains difficult and challenging ; several options have been used. We report our experience with an isometric traction splint, modified from the Southampton design. A cohort of 32 patients with displaced fractures of a proximal phalanx was treated and assessed retrospectively after a short term (9 weeks after splint application...

Minimally invasive surgical treatment for unstable fractures of the proximal phalanx: intramedullary screw☆

OBJECTIVE To analyze the clinical-functional parameters and quality of life of patients undergoing minimally invasive surgical treatment for extra-articular fractures of the proximal phalanx, using an intramedullary screw (Acutrak(®)). METHODS Between January 2011 and September 2014, a prospective study was conducted on 41 patients (48 fingers) with unstable extra-articular fractures of the p...

Avulsion fracture of proximal phalanx 3rd finger