Phalangeal neck fractures of the proximal phalanx of the fingers in adults

Injury
Mohammad M Al-Qattan

Abstract

The outcome of adult phalangeal neck fractures of the proximal phalanx of the fingers has not been previously investigated. Purpose To report the outcome of adult phalangeal neck fractures of the proximal phalanx of the fingers following a specific management protocol. A total of 10 phalangeal neck fractures of the proximal phalanx of the fingers in nine adult male patients are presented. Three patients presented with type I (undisplaced) fractures and these were treated with splinting for 3 weeks. There were a total of five type II (displaced but with bone-to-bone contact) fractures: two were stable after closed reduction and were treated with splinting alone and the other three were unstable requiring Kirschner (K)-wire fixation. The last patient had a type III (displaced with no bone-to-bone contact) fracture, which was treated with open reduction and K-wire fixation. We emphasised that K-wires should not immobilise any of the finger joints to allow immediate active motion after surgery. All fractures healed clinically and radiologically without complications. The outcome in our series, following our management protocol, was excellent in one patient and good in the remaining eight patients. Phalangeal neck fractures of the p...Continue Reading

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Citations

Jun 2, 2011·Annals of Plastic Surgery·Mohammad M Al-Qattan
Nov 7, 2015·Journal of Plastic Surgery and Hand Surgery·Mohammad M Al-QattanSaleh Hanouneh
Nov 12, 2013·Hand Clinics·Shannon Carpenter, Rachel S Rohde
Mar 15, 2015·Injury·Mohammad M Al-Qattan, Ahmed M Al-Qattan
Mar 20, 2014·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Yong Chiang Kang, Puay Ling Tan
Apr 18, 2013·The Journal of Hand Surgery, European Volume·M M Al-Qattan
Mar 17, 2012·The Open Orthopaedics Journal·Dn HaughtonW Khan
Aug 26, 2020·Curēus·Sidhartha R RamlatchanGerald T Delk
Feb 6, 2017·Hand : Official Journal of the American Association for Hand Surgery·Yaron SelaMark E Baratz

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