Proximal Phalanx Fracture Management

Hand (N Y). 2018 Jul;13(4):376-383. doi: 10.1177/1558944717735947. Epub 2017 Oct 27.


Background: 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.

Methods: 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.

Results: Stable fractures can be successfully treated nonoperatively, whereas unstable injuries benefit from surgery. Regardless of the surgical intervention employed, the overriding goal is to restore anatomy and impart enough stability to allow for early motion. The surgical dissection contributes to soft tissue scarring and should be minimized.

Conclusions: Clinical success is achieved when acceptable fracture alignment and stability occur in the setting of unobstructed tendon gliding and early active range of motion.

Keywords: K-wire; fracture; phalanx; plate; screw; stability.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Bone Plates
  • Bone Screws
  • Bone Wires
  • Finger Phalanges / injuries*
  • Finger Phalanges / surgery*
  • Fracture Fixation, Internal / instrumentation
  • Fracture Fixation, Internal / methods
  • Fracture Healing
  • Fractures, Bone / therapy*
  • Humans
  • Splints