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Proximal Phalanx Avulsion Fracture

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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


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


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
Last edited:
30 April 2021 07:53:11
Categories:
Trauma | Pediatrics | Finger | Hand | Fractures