• M Lautenbach, A Zach, A Ekkernkamp, and A Eisenschenk.
• Abteilung für Ellenbogen-, Hand- und Mikrochirurgie, Immanuel-Krankenhaus, Akademisches Lehrkrankenhaus, Freie Universität Berlin, Königstrasse 63, 14109, Berlin, Deutschland. m.lautenbach@immanuel.de
• Orthopade. 2008 Dec 1; 37 (12): 1159-64.

AbstractFractures of the distal phalanx are common. According to the histological results of Hoch et al., the term bony extensor tendon avulsion is not correct; instead, the description fracture of the dorsal distal phalanx should be used. Many therapeutic options for these fractures are described in the literature. Decision-making for operative treatment should not only be based on X-rays.Good functional results are mentioned in the literature after conservative treatment of larger bony fragments. The mid- and long-term results of remodelled joints that are mostly not in anatomically correct positions can only be determined in prospective studies. Indications for operative treatment are dorsal distal phalanx fractures with a distal finger joint subluxation or in cases of widely rotational malposition of the bony fragment. The osteosynthesis has to respect the extensor aponeurosis.

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