• Hand clinics · Aug 2012

    Review

    Phalangeal fractures: displaced/nondisplaced.

    • R Glenn Gaston and Christopher Chadderdon.
    • OrthoCarolina, 1915 Randolph Road Suite 200, Charlotte, NC 28207, USA.
    • Hand Clin. 2012 Aug 1;28(3):395-401, x.

    AbstractNonsurgical management is the preferred treatment of stable, extra-articular fractures of the proximal and middle phalanx, most distal phalanx fractures, and, rarely, nondisplaced intraarticular fractures in elite athletes. Techniques that afford maximal strength with minimal dissection, thus allowing earlier return to play, are ideal. Open reduction with internal fixation with plate fixation is most often chosen for unstable phalangeal shaft fractures in high-demand athletes to provide rigid internal fixation and allow immediate range of motion and more rapid return to sport. It is our practice to routinely treat unicondylar fractures with surgery with percutaneous headless compression screws in elite athletes.Copyright © 2012 Elsevier Inc. All rights reserved.

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