Plastic Surgery for Phalangeal Fracture and Dislocation Workup

Updated: Nov 01, 2018
  • Author: Brian J Divelbiss, MD; Chief Editor: Joseph A Molnar, MD, PhD, FACS  more...
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Workup

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 fractu Acute dorsal proximal interphalangeal joint fracture-dislocation.
Acute dorsal proximal interphalangeal fracture-dis Acute 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.