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How Are Proximal Phalanx Fractures Treated?
Published: Oct 17, 2023
Treating proximal phalanx fractures can be complex but effective with the right steps. Discover how these fractures are managed for optimal recovery.
Initial Treatment Steps
The first step is immobilization with a special splint to keep the finger stable. This helps prevent further movement and reduces pain. If the fracture is stable and not displaced, buddy taping to a neighboring finger might be enough.
Managing Displaced Fractures
Displaced fractures require careful reduction to align the bone correctly. This often involves a digital block for pain relief and then manipulating the bone back into place. Following reduction, a splint helps maintain the position until healing begins.
The Role of Dynamic Splinting
Dynamic splinting allows some finger movement while keeping the fracture stable. It's great for preventing joint stiffness and is used mainly for stable fractures away from the joint.
Follow-Up and Long-Term Care
Regular check-ups and X-rays ensure the fracture heals correctly. Physical therapy may be needed to regain full movement and strength. Healing usually takes several weeks, but full recovery might take longer.
Frequently Asked Questions
It's taping the injured finger to a healthy one for support.
Healing can take several weeks, with full recovery in a few months.
It's an anesthesia method to numb the finger during treatment.
Dynamic splinting allows some movement while healing.
Regular follow-ups ensure proper healing and prevent complications.
Wrapping Up
With proper treatment and follow-up, most proximal phalanx fractures heal well, allowing full return to daily activities.
References
- Widgerow AD, Ladas CS. Anatomical attachments to the proximal phalangeal base—A case for stability. Scand J Plast Reconstr Surg Hand Surg 2001; 35:85.
- Ebinger T, Erhard N, Kinzl L, Mentzel M. Dynamic treatment of displaced proximal phalangeal fractures. J Hand Surg Am 1999; 24:1254.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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