Middle phalanx (finger) fracture - Revision history

Rossdonaldson1: /* Clinical Features */

2023-03-22T22:42:25Z

Clinical Features

← Older revision		Revision as of 22:42, 22 March 2023
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	==Clinical Features==		==Clinical Features==
	*Pain and/or swelling of the digit		*Pain and/or swelling of the digit
	*Sensation usually intact
	**Pain on palpation

	===[[Hand exam\|Examination]]===		===[[Hand exam\|Examination]]===

Rossdonaldson1: /* Evaluation= */

2023-03-22T22:42:01Z

Evaluation=

← Older revision		Revision as of 22:42, 22 March 2023
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	{{Hand and finger fractures DDX}}		{{Hand and finger fractures DDX}}

	==Evaluation===		==Evaluation==
	===Workup===		===Workup===
	*AP, lateral, oblique finger x-ray		*AP, lateral, oblique finger x-ray

Rossdonaldson1: /* References */

2023-03-22T22:41:51Z

References

← Older revision		Revision as of 22:41, 22 March 2023
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	==References==		==References==
	<references/>		<references/>
	~~UpToDate~~

	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Rossdonaldson1 at 22:41, 22 March 2023

2023-03-22T22:41:35Z

← Older revision		Revision as of 22:41, 22 March 2023
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	{{Finger fracture types}}		{{Finger fracture types}}

	==Examination==		==Clinical Features==
			*Pain and/or swelling of the digit
			*Sensation usually intact
			**Pain on palpation

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

	==~~Images~~==		==Differential Diagnosis==
	*AP, lateral, oblique		{{Hand and finger fractures DDX}}

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

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

	==Management==		==Management==

Rossdonaldson1 at 22:39, 22 March 2023

2023-03-22T22:39:44Z

← Older revision		Revision as of 22:39, 22 March 2023
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	==Background==		==Background==
	*Commonly associated with tendon injuries!		*Commonly associated with tendon injuries!

			{{Finger fracture types}}

	==Examination==		==Examination==

Rossdonaldson1: /* Management */

2019-09-18T02:58:28Z

Management

← Older revision		Revision as of 02:58, 18 September 2019
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	==Management==		==Management==
	*Nondisplaced without angulation:		{{General Fracture Management}}
	**[[Buddy tape]] to adjacent finger
	***[[Buddy tape]] ring finger to little finger		===Nondisplaced without angulation===
	**Dorsal or volar [[Finger Splint]] if desire added protection		*[[Buddy tape]] to adjacent finger
	*Displaced or angulated fracture		**[[Buddy tape]] ring finger to little finger
	**Closed reduction		*Dorsal or volar [[Finger Splint]] if desire added protection
	***Adequate reduction:
	****<1-2mm displacement or shortening		===Displaced or angulated fracture===
	****Up to 10 degrees of angulation		*Closed reduction
	****No amount rotation		**Adequate reduction:
	***Followed by [[Ulnar Gutter Splint]] or [[Radial Gutter Splint]]		***<1-2mm displacement or shortening
	****Wrist in 20-30 degrees of extension		***Up to 10 degrees of angulation
	****MCP joints in 70-90 degrees of flexion		***No amount rotation
	****PIP and DIP joints flexed 5-10 degrees		**Followed by [[Ulnar Gutter Splint]] or [[Radial Gutter Splint]]
	*****Decreases the force exerted by the FDS		***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==		==Disposition==

Rossdonaldson1: Text replacement - "fx" to "fracture"

2016-07-10T10:45:40Z

Text replacement - "fx" to "fracture"

← Older revision		Revision as of 10:45, 10 July 2016
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	***[[Buddy tape]] ring finger to little finger		***[[Buddy tape]] ring finger to little finger
	**Dorsal or volar [[Finger Splint]] if desire added protection		**Dorsal or volar [[Finger Splint]] if desire added protection
	*Displaced or angulated fx		*Displaced or angulated fracture
	**Closed reduction		**Closed reduction
	***Adequate reduction:		***Adequate reduction:
Line 34:		Line 34:
	**Comminution		**Comminution
	**Malrotation		**Malrotation
	**Intraarticular fx		**Intraarticular fracture
	**Displaced or angulated fractures that cannot maintain their reduction		**Displaced or angulated fractures that cannot maintain their reduction
	**Most spiral and oblique fracture (usually involve rotation or shortening and are unstable)		**Most spiral and oblique fracture (usually involve rotation or shortening and are unstable)

Neil.m.young: Text replacement - "==Treatment==" to "==Management=="

2016-07-09T21:42:14Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 21:42, 9 July 2016
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	{{Hand and finger fractures DDX}}		{{Hand and finger fractures DDX}}

	==~~Treatment~~==		==Management==
	*Nondisplaced without angulation:		*Nondisplaced without angulation:
	**[[Buddy tape]] to adjacent finger		**[[Buddy tape]] to adjacent finger

Neil.m.young: Text replacement - "* " to "*"

2016-07-07T22:33:03Z

Text replacement - "* " to "*"

← Older revision		Revision as of 22:33, 7 July 2016
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	==Background==		==Background==
	* Commonly associated with tendon injuries!		*Commonly associated with tendon injuries!

	==Examination==		==Examination==
	* Assess PIP, DIP flexion/extension		*Assess PIP, DIP flexion/extension
	* Assess PIP, DIP collateral ligaments (varus/valgus stress)		*Assess PIP, DIP collateral ligaments (varus/valgus stress)

	==Images==		==Images==
	* AP, lateral, oblique		*AP, lateral, oblique
	* Oblique and spiral fractures: evaluate for shortening/malrotation		*Oblique and spiral fractures: evaluate for shortening/malrotation

	==Differential Diagnosis==		==Differential Diagnosis==
Line 14:		Line 14:

	==Treatment==		==Treatment==
	* Nondisplaced without angulation:		*Nondisplaced without angulation:
	** [[Buddy tape]] to adjacent finger		**[[Buddy tape]] to adjacent finger
	*** [[Buddy tape]] ring finger to little finger		***[[Buddy tape]] ring finger to little finger
	** Dorsal or volar [[Finger Splint]] if desire added protection		**Dorsal or volar [[Finger Splint]] if desire added protection
	* Displaced or angulated fx		*Displaced or angulated fx
	** Closed reduction		**Closed reduction
	*** Adequate reduction:		***Adequate reduction:
	**** <1-2mm displacement or shortening		****<1-2mm displacement or shortening
	**** Up to 10 degrees of angulation		****Up to 10 degrees of angulation
	**** No amount rotation		****No amount rotation
	*** Followed by [[Ulnar Gutter Splint]] or [[Radial Gutter Splint]]		***Followed by [[Ulnar Gutter Splint]] or [[Radial Gutter Splint]]
	**** Wrist in 20-30 degrees of extension		****Wrist in 20-30 degrees of extension
	**** MCP joints in 70-90 degrees of flexion		****MCP joints in 70-90 degrees of flexion
	**** PIP and DIP joints flexed 5-10 degrees		****PIP and DIP joints flexed 5-10 degrees
	***** Decreases the force exerted by the FDS		*****Decreases the force exerted by the FDS

	==Disposition==		==Disposition==
	* Refer for:		*Refer for:
	** Comminution		**Comminution
	** Malrotation		**Malrotation
	** 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 fracture (usually involve rotation or shortening and are unstable)		**Most spiral and oblique fracture (usually involve rotation or shortening and are unstable)

	==See Also==		==See Also==

Neil.m.young: Text replacement - "fx " to "fracture "

2016-07-03T01:03:42Z

Text replacement - "fx " to "fracture "

← Older revision		Revision as of 01:03, 3 July 2016
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	** 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 fx (usually involve rotation or shortening and are unstable)		** Most spiral and oblique fracture (usually involve rotation or shortening and are unstable)

	==See Also==		==See Also==