Phalanx Fractures (proximal and middle)

These fractures are difficult to treat.

Mechanism of Injury

These fractures usually arise from a crushing injury: trapping of the finger in a door or being struck by a hammer or occupational trauma.

Clinical Features

Localised pain and swelling.

X-rays confirm the diagnosis. The fracture is usually a transverse pattern with forward angulation often occurring.

Associated Injuries

Damage to the flexion and extension tendons may occur as a result of forward angulation of the fracture. Damage to the skin and neurovascular supply often occurs. Joint stiffness commonly arises as a result of intra-articular fractures.