Represents ~5% of all metacarpal and phalangeal fractures 1
Shaft is the most common location for fracture.
Physeal fractures often occur in skeletally immature individuals.
Grabbing a jersey, jammed finger, crush, traction, or twisting
Document occupation and hand dominance.
Probe for initial deformity or excessive blood loss.
Open, unstable, spiral, comminuted, or those that fail to maintain reduction require orthopedic referral 2.
Fractures at the base 2:
Axial load injury common inciting mechanism
Repeat radiographs at 2 wk may add to follow-up.
Deformity may result from no treatment, improper reduction, or poor splint compliance.
Stiffness may result from ov...
All fractures require AP, lateral, and oblique views in isolation of affected digit.
Splinting and buddy taping remain mainstay of nondisplaced, closed, middle phalangeal fractures, wit...
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