Plain radiographs form the mainstay of imaging distal phalanx fractures. [Full Text]. The distal interphalangeal joints are formed by the articulations between the heads of the middle phalanges and the bases of the distal phalanges. WebClinically, there is an extensor lag at the DIP joint, and radiographically there may be a variable sized avulsion fracture from the dorsal base of the distal phalanx. 1975 Nov. 57(4):430-6. The distal phalanx is the most commonly fractured bone of the hand. AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. See permissionsforcopyrightquestions and/or permission requests. Pediatric Elbow Injuries. It is normal for your finger to be a bit achy and swollen for a couple of months after this type of injury. Closed reduction and percutaneous pinning techniques similar to those used for supracondylar humerus fractures are employed. The radiographic depiction of lateral condyle fractures depends on the degree of separation at the fracture site. The anterior fat pad is demonstrated and is abnormally elevated. 1-6. The distal humeral articular surface has several grooves and ridges that are important in determining anatomic stability after a fracture. The patient saves significant time by undergoing the procedure in the ER as well by avoiding the additional time to be indicated for the procedure, whether urgent or as an outpatient. However, this finding may cause the injury to be confused with a lateral condyle fracture. Stable nondisplaced fractures can be treated conservatively with buddy taping and early range of motion, but should be followed carefully to ensure stability of the fracture. Rabiner JE, Khine H, Avner JR, Friedman LM, Tsung JW. The mean annual incidence was 0.8 per 105. The radial fracture is so close to the joint that the injury may superficially resemble a radial head dislocation. J Pediatr Orthop. You may inquire whether the author(s) will agree to phone conferences and/or visits regarding these techniques. Radiographic findings in lateral condyle fracture. [23] Radiographic evaluation of the amount of displacement is also known to be limited, with many cases showing substantially more displacement by CT than radiography. Type A fractures have no or minimal gap at their lateral aspect and cannot be traced all of the way to the physis. 4B, hyperflexion injury with fracture of articular surface of 20% to 50%. [36, 37]. Beaty JH, Kasser JR. Rockwood and Wilkins' Fractures in Children. Transphyseal fracture (also called transcondylar fracture) is a fracture through the distal humeral physis that separates the entire distal humeral epiphysis from the metaphysis. [Full Text]. Subtle olecranon fracture. Distal Phalanx - an overview | ScienceDirect Topics

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