Plastic Surgery for Phalangeal Fracture and Dislocation Workup

  • Author: Brian J Divelbiss, MD; Chief Editor: Joseph A Molnar, MD, PhD, FACS   more...
 
Updated: Oct 18, 2011
 

Imaging Studies

Plain radiographs (PA, lateral and oblique views) are sufficient for the diagnosis of most injuries to the phalanges. Oblique radiographs may be especially helpful for injuries around the DIPJ and PIPJ or to detect subtle shaft fractures. Little role exists for CT or MRI in the acutely injured finger.

Acute dorsal proximal interphalangeal joint fractuAcute dorsal proximal interphalangeal joint fracture-dislocation. Acute dorsal proximal interphalangeal fracture-disAcute dorsal proximal interphalangeal fracture-dislocation. A concentric reduction could not be maintained in a splint. Complex unstable fracture of the proximal phalanx.Complex unstable fracture of the proximal phalanx.
Proceed to Treatment & Management
 
 
Contributor Information and Disclosures
Author

Brian J Divelbiss, MD  Attending Staff, Dickson-Diveley Midwest Orthopedic Clinic, Inc, and Kansas City Orthopedic Institute; Associate Clinical Professor, Department of Orthopedic Surgery, University of Missouri-Kansas City

Brian J Divelbiss, MD is a member of the following medical societies: Alpha Omega Alpha and American Society for Surgery of the Hand

Disclosure: Nothing to disclose.

Coauthor(s)

Mark E Baratz, MD  Professor, Department of Orthopaedics, Drexel University College of Medicine; Residency Director, Department of Orthopaedics, Allegheny General Hospital; Consulting Staff, Allegheny Orthopaedic Associates

Mark E Baratz, MD is a member of the following medical societies: Allegheny County Medical Society, American Academy of Orthopaedic Surgeons, American Association for Hand Surgery, American Orthopaedic Association, American Society for Surgery of the Hand, Orthopaedic Research Society, and Pennsylvania Orthopaedic Society

Disclosure: Integra Life Sciences Royalty None; Integra Life Sciences Consulting fee Speaking and teaching; Integra Life Sciences Grant/research funds None; Elizur Consulting fee Consulting

Sameer Jain, MD  Resident Physician, Department of Orthopaedic Surgery, Allegheny General Hospital

Sameer Jain, MD is a member of the following medical societies: Alpha Omega Alpha and American Academy of Orthopaedic Surgeons

Disclosure: Nothing to disclose.

Specialty Editor Board

Milton B Armstrong, MD, FACS  Associate Professor of Clinical Surgery, Associate Professor of Clinical Orthopedics, Department of Surgery, University of Miami Miller School of Medicine

Milton B Armstrong, MD, FACS is a member of the following medical societies: American Association for Hand Surgery, American Association of Plastic Surgeons, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Medical Association, American Society for Reconstructive Microsurgery, American Society for Surgery of the Hand, and National Medical Association

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

David W Chang, MD, FACS  Associate Professor, Department of Plastic Surgery, MD Anderson Cancer Center, University of Texas Medical School at Houston

Disclosure: Nothing to disclose.

Nicolas (Nick) G Slenkovich, MD  Director, Colorado Plastic Surgery Center

Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society

Disclosure: Nothing to disclose.

Chief Editor

Joseph A Molnar, MD, PhD, FACS  Director, Wound Care Center, Associate Director of Burn Unit, Associate Professor, Department of Plastic and Reconstructive Surgery, Wake Forest University School of Medicine

Joseph A Molnar, MD, PhD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Parenteral and Enteral Nutrition, American Society of Plastic Surgeons, North Carolina Medical Society, Peripheral Nerve Society, Undersea and Hyperbaric Medical Society, and Wound Healing Society

Disclosure: KCI, Inc. Honoraria Speaking and teaching; Integra Life Sciences Honoraria Speaking and teaching; Clincal Cell Culture Grant/research funds Co-investigator; KCI, Inc Wake Forest University receives royalties Other

References

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Acute dorsal proximal interphalangeal joint fracture-dislocation.
Treatment with dorsal blocking splint.
Custom figure-of-eight splint used once motion is begun.
Acute dorsal proximal interphalangeal fracture-dislocation. A concentric reduction could not be maintained in a splint.
Treatment with a dorsal blocking percutaneous pin.
Complex unstable fracture of the proximal phalanx.
Treatment with multiple minifragment screws plus K-wires.
 
 
 
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