Phalangeal Fracture Surgery Workup

Updated: Nov 07, 2019
  • Author: Brian J Divelbiss, MD; Chief Editor: Harris Gellman, MD  more...
  • Print
Workup

Imaging Studies

Plain radiography is sufficient for the diagnosis of injuries to the phalanges. (See the images below.) Oblique radiography may be helpful for injuries around the distal interphalangeal (DIP) joint and the proximal interphalangeal (PIP) joint.

Phalangeal fractures. Acute dorsal proximal interp Phalangeal fractures. Acute dorsal proximal interphalangeal joint (PIPJ) fracture-dislocation. Image courtesy of Mark Baratz, MD.
Phalangeal fractures. Treatment with dorsal blocki Phalangeal fractures. Treatment with dorsal blocking splint. Image courtesy of Mark Baratz, MD.

Computed tomography (CT) and magnetic resonance imaging (MRI) generally have not played significant roles in the assessment of the acutely injured finger.