FRACTURES OF THE MIDDLE PHALANX

FRACTURES OF THE MIDDLE PHALANX
The three important injuries of special interest
relating to the middle phalanx are:
• Isolated fracture of the volar base.
• Isolated fracture of the dorsal base.
• Pilon fractures. This consists of extensive
metaphyseal comminution with involvement of
the entire articular surfaces and bone loss.
All these injuries can pose problems in the
management.
Clinical Features
Pain, swelling, tenderness, deformity of the finger
and loss of finger functions are the usual complaints.
Radiographs
Plain X-ray of the finger AP, lateral and oblique
views help to make the diagnosis.