Orthopedics Book

Cardiovascular Medicine

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Middle Phalanx Fracture

Aka: Middle Phalanx Fracture
  1. Signs
    1. Volar or dorsal angulation
  2. Management: Reduction
    1. Anesthesia: Digital Block or Hematoma Block
    2. Reduce by traction and manipulation of finger
  3. Management: Post-Reduction of Fracture
    1. Immobilization after successful reduction
      1. Dorsal aluminum splint in extension for 6 weeks, then
      2. Buddy taping for an additional 6 weeks
    2. Post-Reduction Assessment
      1. Evaluate for even subtle rotation
      2. Methods
        1. Repeat finger XRay
        2. Flexed fingers should all point to Scaphoid (thenar eminence)
          1. OrthoHandPositionFistToScaphoid.jpg
    3. Orthopedic referral indications
      1. Joint surface involved >30%
      2. Inadequate Fracture reduction (e.g. rotation)
      3. Intraarticular Fracture

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