What is the role of radiography in the evaluation of phalangeal injury?

Updated: Jan 18, 2018
  • Author: Jay E Bowen, DO; Chief Editor: Craig C Young, MD  more...
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Answer

If a serious phalangeal injury is suspected, radiographs should be performed before more forceful testing. Hand fractures in the athlete are treated with adequate alignment, immobilization, and then motion. In general, intra-articular fractures must be reduced anatomically. Reduction requires early recognition of the exact location of the fracture and having a complete understanding of the muscle pull on the fragments, then minimizing the deforming force.

See the image below.

Acute dorsal proximal interphalangeal joint fractu Acute dorsal proximal interphalangeal joint fracture-dislocation.

For patient education resources, see the Breaks, Fractures, and Dislocations Center, as well as Broken Finger, Broken Hand, and Wrist Injury.


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