Proximal Phalanx Avulsion Fracture
- Pediatric physeal fracture of proximal phalanx
- Most common pediatric hand fracture
- Salter-Harris type II of 5th proximal phalanx is most common of these.
- Lateral forces, usually combined rotational forces.
- Physical Exam: Physical Exam Hand
- Special Tests
- Buddy taping
- Closed reduction and percutaneous pinning (CRPP) for unstable fx
Rehab and Return to Play
Return to Play/ Work
- Sports Med Review Hand Pain: https://www.sportsmedreview.com/by-joint/hand/
Boyer, J. et al. Pediatric Proximal Phalanx Fractures - Outcomes and Complications After the Surgical Treatment of Displaced Fractures. J Pediatr Ortho. 2015; 35: 219-223
Nellens, K. et al. Pediatric Hand Fractures. Hand clin. 2013; 29: 569-578