How long does it take for a proximal phalanx fracture to heal?

How long does it take for a proximal phalanx fracture to heal?

Many stable phalanx fractures can be treated nonoperatively through close monitoring until clinical healing is noted. Proximal phalanx fractures will often be clinically healed 4 weeks status post injury, at which time it is unlikely that the fracture will displace.

How is proximal phalanx fracture treated?

Proximal phalanx fracture – undisplaced Your fracture can be treated with splinting, taping or casting (or a combination of all three of these). Generally a cast is only used for treating phalangeal fractures for children or individuals who will not be able to keep their fingers safely immobilised with a splint.

What is a proximal phalanx?

The proximal phalanx of the fingers is the proximal, or first bone, in the fingers when counting from the hand to the tip of the finger. There are three phalanges in each finger. The proximal phalanx is the largest of the three bones in each finger; it has joints with the metacarpal and with the middle phalanx.

How do you fix a broken distal phalanx?

Open fracture of the distal phalanx often necessitates referral to an orthopedic or hand subspecialist because digital nerve block, wound debridement, irrigation and soft tissue repair are required. Often, soft tissue repair will suffice to stabilize the fracture.

What is proximal phalanx of thumb?

Anatomy of the Thumb The thumb (also called the first finger) is made up of two small bones called phalanges that project off of the first metacarpal bone of the hand. The proximal phalanx extends from the base of the thumb to the knuckle. The distal phalanx extends from the knuckle to the tip of the thumb.

Why does my proximal phalanx hurt?

Metatarsalgia is pain that occurs in the foot between the arch and the toes, often in the metatarsophalangeal joint of the big toe. It is usually associated with problems with foot biomechanics or deformities. Tenderness and pain when walking are common symptoms.

What type of splint is used for proximal phalanx fracture?

Fractures of the proximal phalanx Dynamic splinting is the treatment of choice for nondisplaced fractures. Fractures of the shaft usually result in volar angulation, because the intrinsic tendons pass obliquely from a proximal volar to a distal dorsal direction.

What is proximal phalanx thumb?

Which ligament attaches the metacarpal of the thumb to the proximal phalanx of the thumb?

The radial and ulnar collateral ligaments arise proximally from their respective sides on the metacarpal bone, spanning the distal and volar sides of the joint to attach on the proximal phalanx. [8] Each collateral ligament has its own proper and accessory ligamentous structures.

What do you do if you break the tip of your thumb?

If you suspect you’ve fractured your thumb, you can apply ice or cold water to the area to reduce swelling. Immobilization of your hand with a splint can help if you know someone with the proper knowledge to do so. Learn how to make a splint. Keep your injured hand elevated above your heart.

How do you know if your distal phalanx is broken?

Fractures to the finger tip (distal phalanx) are common from smashing injuries to the fingernail. The symptoms of this type of injury may be swelling and bruising to the finger pad and purple-colored blood underneath the fingernail (subungual hematoma).

How bad is a fractured thumb?

Symptoms of a fractured thumb include severe pain, swelling, limited motion or inability to move the thumb, extreme tenderness, a misshapen or deformed appearance, and a sensation of numbness or coldness in the thumb.

What are phalanx fractures of the hand?

Phalanx fractures are common hand injuries that involve the proximal, middle or distal phalanx. Diagnosis can be confirmed with orthogonal radiographs of the involve digit. Treatment involves immobilization or surgical fixation depending on location, severity and alignment of injury.

What are the treatment options for proximal phalangeal fractures?

– ref: Closed Reduction and Percutaneous Pinning of Fractures of the Proximal Phalanx. Closed Reduction and Internal Fixation of Proximal Phalangeal Fractures. Percutaneous screw treatment of spiral oblique finger proximal phalangeal fractures.

What are the K-wire fixation methods for proximal phalanx fracture?

Kirschner wire (K-wire) fixation methods for proximal phalanx fracture. (a) Transarticular technique where the K-wire crosses the metacarpophalangeal joint prior to crossing the fracture site. (b) Periarticular technique where the pins start radial and ulnar from the base of the proximal phalanx and cross the fracture site.

What is the Tam of proximal phalanx fracture?

Proximal phalanx fractures treated with 2 parallel transarticular K-wires inserted radial and ulnar to the extrinsic extensor tendon showed good overall TAM of 265° at final follow-up and a mean range of PIP joint motion of 96°.19