Interosseus muscles and lumbricals insert onto the base of the proximal phalanx and flex the proximal fragment. Proximal phalanx fractures often present with apex volar angulation. in 1 week. The treatment of toe and finger fractures is discussed separately. Therefore, the physician must identify those fractures C, Pilon injury to the PIPJ. They are frequently related to sports, with lesions such as the mallet finger and the Jersey finger.When associated with a crush injury, open fracture is more likely. While the fracture is also sometimes known to occur at the sesamoid bone or navicular bone, occurrence at the proximal phalanx of the great toe is extremely rare; only two out of 368 cases is reported by Hulkko,' and thirteen cases, including our four, have been reported so far, of which eleven cases were described in detail (Table 2).21 Of the eleven cases, three were men and eight women.

They represent > 50% of all phalangeal fractures and frequently involve the ungual tuft 1.. Broken toe or toe fracture may involve big toe and other small 4 toes. Neck fracture of the proximal phalanx of the finger is a relatively uncommon injury and occurs almost exclusively in children. Proximal Phalanx Fractures Fractures of the articular surface of the proximal phalanx can involve one or both condyles. But there are no evidence-based guidelines regarding the indication of surgery in closed phalangeal fracture [6].

The injury usually occurs secondary to the traumatic abduction of the forefoot. Note the involvement of the central slip attachment (Ext) in the fracture. (Ribbans 2005) Injuries to the hallux have been found to commonly occur during sporting activities (28%), especially soccer, with most patients (92%) presenting with closed fractures.
Hairline and non-displaced toe fracture heals with no complications or deformity. ... fracture of that phalanx. 3 Patients with phalanx fractures typically present with pain at or near the site of injury, edema, ecchymosis, and erythema. The middle phalanx (P2) is dislocated or subluxated volarly and the dorsal lip is fractured.

The buttressing effects of both the volar and dorsal lips of the middle phalanx are lost. Distal phalanx fractures represent common sports and work-related injuries, accounting for approximately half of all hand fractures . Phalangeal fractures are the most common type of hand fracture that occurs in the pediatric population and account for the second highest number of emergency department visits for fractures in the United States.

These fractures are commonly caused by trauma or crush injuries.


Distal phalanx fractures are among the most common fractures in the hand.. dislocations is defined by the ability to maintain a well-aligned reduction. phalanx Figure 4 Fracture-dislocations of the Proximal Interphalangeal Joint 90 Journal of the American Academy of Orthopaedic Surgeons.

Initial management of non- displaced lesser toe fractures includes buddy taping to an adjacent toe, …

Radiographic features Most reported fractures of the proximal phalanx of the great toe have been associated with halux valgus deformity. Phalanx fractures: The most common foot fractures. Throbbing pain is characteristic, and dependent position may worsen the pain. The degree of soft tissue injury is often more important than the fracture in phalangeal fractures; Compound fractures, proximal phalanx and intra-articular fractures of the great toe should be referred to the Orthopaedic team. 1, 2 In particular, the phalanges are the most frequently injured bones in the hand, with distal phalangeal and proximal phalangeal base fractures being the most diagnosed fractures. Treatment of lesser toe (phalangeal) fractures.


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