What is included in the initial treatment of proximal phalanx fractures?

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

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. Angulation is also increased by the influence of the extensors and flexors compressing bone longitudinally. Reduction is accomplished by longitudinal traction and flexion of the metacarpophalangeal joint to lessen the pull of the intrinsic muscles and then followed by longitudinal traction and flexion of the distal fragment.


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