Distal Phalanx Fracture


Mechanism of Injury

Imaging

TREATMENT:
  Initial Treatment
Splint type & position Protective aluminum splint, “U” shaped
Distal interphalangeal joint in extension
Initial follow-up visit 1 to 2 weeks
Pt instructions Keep finger elevated
Avoid compressive tape or dressing
  Follow-up Care
Cast or Splint type & position Same as above
Length of immobilization 3 to 4 weeks or until finger is no longer sensitive to impact
Healing time 4 to 6 weeks
Comminuted fractures may take several months for complete resolution of symptoms
Follow-up visit interval Every 2 to 4 weeks
Repeat radiography interval Only need to repeat radiographs for persistent symptoms
Pt instruction Continue active motion of PIP and MCP joints
Nail deformity is possible
Indications for Ortho consult Angulated, open, or displaced transverse fractures
Failed closed reduction
Nonunion
Severe persistent symptoms after 6 months

Return to Work or Sports