Proximal Phalanx Fracture Treatment. Fok et al report on 10 year results managing proximal phalangeal fractures with dynamic treatment. We reviewed the most current literature on various treatment methods of proximal phalanx fractures focusing on the indications and outcomes of nonoperative as well as operative interventions.
Non displaced fractures a non displaced fracture is a fracture where the two ends of the bone are still well aligned. Your fracture can be treated with splinting taping or casting or a combination of all three of these. Direct blows tend to cause transverse or comminuted fracture where as twisting injury may cause oblique or spiral fractures.
Initial management of non displaced lesser toe fractures includes buddy taping to an adjacent toe use of a rigid sole shoe and weight bearing as tolerated.
The goal of proximal phalangeal fracture management is to allow for fracture healing to occur in acceptable alignment while maintaining gliding motion of the extensor and flexor tendons. Some proximal phalangeal fractures require surgery and some don t. Proximal phalanx fractures typically present with volar apical angulation because of the the extrinsic and intrinsic muscle. The primary goals of phalangeal fracture treatment are to restore anatomy and preserve function.