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Proximal Phalanx Avulsion Fracture
From WikiSM
Other Names
- Pediatric physeal fracture of proximal phalanx
Background
History
Epidemiology
- Most common pediatric hand fracture
- Salter-Harris type II of 5th proximal phalanx is most common of these.
Pathophysiology
- Lateral forces, usually combined rotational forces.
Risk Factors
Differential Diagnosis
Clinical Features
- History
- Physical Exam: Physical Exam Hand
- Special Tests
Evaluation
Management
Prognosis
Nonoperative
- Buddy taping
Operative
- Technique
- Closed reduction and percutaneous pinning (CRPP) for unstable fx
Rehab and Return to Play
Rehabilitation
Return to Play/ Work
Complications
See Also
External
- Sports Med Review Hand Pain: https://www.sportsmedreview.com/by-joint/hand/
References
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
Created by:
Joseph Volpi, MD on 27 April 2021 22:00:25
Authors:
Last edited:
16 October 2022 00:23:51
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