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Distal Phalanx Fracture

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2. Salter-Harris Fractures of the Distal Phalanx: Treatment Algorithm and Surgical Outcomes. (PubMed)

Salter-Harris Fractures of the Distal Phalanx: Treatment Algorithm and Surgical Outcomes. Salter-Harris fractures of the distal phalanx with or without clinical evidence of nail-bed laceration are frequently undertreated.A retrospective review was performed of all patients with distal phalanx Salter-Harris fractures treated between 2004 and 2016.Seventy patients were treated for 72 Salter-Harris fractures at a mean ± SD age of 11.3 ± 3.7 years. Median follow-up was 6 weeks (interquartile range (...) , 4 to 12.6 years). The thumb was most commonly involved (n = 21), followed by long (n = 18), ring (n =17), small (n = 9), and index (n = 7) fingers. Sport-related injuries accounted for 39 fractures (54 percent). Forty-two fractures (58 percent) had at least one clinical finding suggestive of nail-bed laceration (subungual hematoma, subluxation of the proximal nail plate, skin laceration proximal to the eponychial fold, bleeding from underneath the nail plate, eponychial fold laceration, and nail

2018 Plastic and reconstructive surgery

3. Complications of Distal Phalanx Fractures in Children. (PubMed)

Complications of Distal Phalanx Fractures in Children. To determine whether the incidence of complications varies between among types of distal phalangeal fractures in a pediatric population.We retrospectively reviewed the medical records and radiographs of patients seen in the pediatric hand surgery clinic from 2011 to 2012 with a diagnosis of distal phalanx fracture. Patients were identified by International Classification of Diseases-Ninth Revision code (816.02 or 816.12). We reviewed 206 (...) . The highest rates were for Salter-Harris IV (100%), Seymour (62%), and mallet fractures (49%). There was a statistically significant difference in complication rate by diagnosis. The most common complications were infection (22%), stiffness (15%), and nail deformity (13%).Complications of distal phalanx fractures in children are frequent. The incidence varies by fracture type, the highest of which are for Salter-Harris IV, Seymour, and mallet fractures. Special care needs to be taken to reduce

2017 Journal of Hand Surgery - American

4. Open physeal fracture of the distal phalanx of the hallux: Case study, diagnosis and management. (PubMed)

Open physeal fracture of the distal phalanx of the hallux: Case study, diagnosis and management. Open physeal fractures of the distal phalanx of the hallux are the lesser described counterpart to the same fracture of the finger, known by its eponym as a "Seymour fracture". Displaced Salter-Harris phalangeal fractures present with a concomitant nailbed or soft tissue injury. Often these fractures occur in the summer months when open-toe footwear can be worn, however, they may occur indoors (...) as well. Frequently, the injury results from direct axial load of the toe, or "stubbing", which causes the fracture and associated soft tissue injury. Prompt diagnosis and appropriate treatment is necessary to prevent negative sequelae such as osteomyelitis, malunion, nonunion, or premature growth arrest. In this article, we present a 12year-old male who sustained an open physeal fracture of the distal phalanx when he "stubbed" his great toe on a bed post. His injury was initially misdiagnosed

2017 American Journal of Emergency Medicine

5. Distal Phalanx Fracture

Distal Phalanx Fracture Distal Phalanx Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Distal Phalanx Fracture Distal Phalanx (...) Fracture Aka: Distal Phalanx Fracture , Tuft Fracture From Related Chapters II. Mechanism Usually blunt or crush injury to finger tip Stable because soft tissue support of septae III. Types: Fracture Longitudinal Transverse Comminuted IV. Signs Swollen and painful distal digit Examination points Distal interphalangeal joint (DIP) range of motion Distal V. Associated Conditions VI. Radiology XRay of digit (AP, lateral, oblique) VII. Management Open Extensive Cleaning and debridement Consider antibiotics

2018 FP Notebook

6. Nonsurgical Treatment as Alternative to Surgical Treatment in Enchondromas of the Distal Phalanx. Analysis of a Series of 11 Cases. (PubMed)

Nonsurgical Treatment as Alternative to Surgical Treatment in Enchondromas of the Distal Phalanx. Analysis of a Series of 11 Cases. To describe the results of nonsurgical and surgical treatment of enchondromas of the distal phalanx of the hand.Eleven enchondromas of the distal phalanx were retrospectively reviewed. Five patients underwent surgery (curettage and autogenous cancellous bone graft from the iliac crest) and 6 patients were treated nonsurgically. Clinical records and radiographs were (...) -up, the average pain was 3.2. Joint mobility was normal in 3 patients. Postoperative radiological examination revealed complete bone healing in all patients (grade I in the Tordai classification). No local recurrence was seen. According to the criteria of Wilhelm and Feldmeier, there were 3 excellent, 1 good, and 1 satisfactory results in the surgical group, and 2 excellent, 3 good, and 1 satisfactory results in the nonsurgical group.Surgical and nonsurgical treatment in distal phalanx

2018 Journal of Hand Surgery - American

7. Correction of Hallux Valgus Interphalangeus With an Osteotomy of the Distal End of the Proximal Phalanx (Distal Akin Osteotomy). (PubMed)

in a fracture extending into the adjacent IP joint.Correction of an HVI deformity can be achieved with an osteotomy at the distal end of the proximal phalanx. This was a safe technique with few complications and with good results in terms of both correction and patient satisfaction.Level IV, retrospective case series. (...) Correction of Hallux Valgus Interphalangeus With an Osteotomy of the Distal End of the Proximal Phalanx (Distal Akin Osteotomy). Operative correction of a symptomatic hallux valgus interphalangeus (HVI) deformity is often achieved with an osteotomy at the proximal end of the proximal phalanx (Akin osteotomy). However, the apex of the typical HVI deformity (center of rotation angle) is at the interphalangeal joint of the hallux. This study was done to evaluate the results of performing a medial

2016 Foot & Ankle International

8. Volar Anatomy of the Proximal Phalanx: Implications for Screw Length Selection for Fixation of Shaft Fractures. (PubMed)

Volar Anatomy of the Proximal Phalanx: Implications for Screw Length Selection for Fixation of Shaft Fractures. To investigate the anatomy of the volar surface of the proximal phalanx of the hand, specifically the longitudinal groove running along the volar phalangeal shaft.We measured skeletonized proximal phalanges from 10 embalmed human cadaver hands at 5 equidistant points along the shaft. The difference between the maximum dorsal-palmar thickness of the shaft and thickness measured from (...) the center of the volar groove to the most dorsal aspect of the phalanx indicated the depth of the groove at each point. These specimens underwent microtomography to characterize their osseous morphology further. Screws placed dorsal to palmar into the specimens and viewed fluoroscopically simulated the appearance of screw protrusion into the volar groove under intraoperative imaging. Similarly, screws placed into a fresh-frozen cadaveric hand illustrated possible screw impingement on soft tissue

2017 Journal of Hand Surgery - American

9. Percutaneous Cannulated Compression Screw Osteosynthesis in Phalanx Fractures: The Surgical Technique, the Indications, and the Results (PubMed)

with different types of phalangeal fractures undergoing a percutaneous cannulated compression screw osteosynthesis. Parameters such as average operation time and clinical outcome were evaluated postoperatively. Results: Forty-three patients were treated using a percutaneous cannulated compression screw fixation system for phalanx fractures of the proximal (n = 26), middle phalanx (n = 16), or distal phalanx (n = 1). All fractures healed after 6 to 8 weeks except in 1 patient with secondary loss of reduction (...) Percutaneous Cannulated Compression Screw Osteosynthesis in Phalanx Fractures: The Surgical Technique, the Indications, and the Results Objective: Fractures of metacarpals and phalanges are very common fractures, and there are a lot of treatment modalities. The purpose of the study was to describe the technique of percutaneous fixation of phalangeal fractures using a cannulated compression screw fixation system and its results. Methods: We conducted a prospective clinical study on 43 patients

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2017 Eplasty

10. Prostate cancer metastasis to the distal phalanx of the left hallux: The first confirmed case and literature review (PubMed)

Prostate cancer metastasis to the distal phalanx of the left hallux: The first confirmed case and literature review Prostate cancer is one of the most common carcinomas in Asia, as well as all over the world. The vast majority of prostate cancer patients present with bone metastases, which mainly involve the axial bones, with pain as the most common symptom. The present study reports the first case of prostate cancer metastasis to the hallux in a 73-year-old man who presented with pain (...) and a swollen phalanx of the left hallux. This symptom developed gradually over a period of several months and could not be improved with the common treatments. Due to a pathological fracture, amputation of the left phalanx was performed. Notably, the immunohistochemical examinations of the surgical sample demonstrated the presence of a metastatic lesion from prostate cancer. The present study describes an unusual presentation involving phalangeal metastasis in a prostate cancer patient, and a systematic

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2016 Oncology letters

11. Prophylactic antibiotics in open distal phalanx fractures: systematic review and meta-analysis. (PubMed)

Prophylactic antibiotics in open distal phalanx fractures: systematic review and meta-analysis. A systematic review was conducted on 30 December 2014 to determine whether prophylactic antibiotics reduce the risk of superficial infection and osteomyelitis following open distal phalanx fractures. Four randomized controlled trials (353 fractures) were suitable for meta-analysis. There was no statistically significant difference between rates of superficial infection in the two groups. This finding (...) persisted when only the two most recent and highest quality trials were included. There were no reported cases of osteomyelitis in the pooled dataset, despite patients with 164 fractures not receiving antibiotics. These results fail to show any effect of prophylactic antibiotics on the rate of superficial infections following open distal phalanx fractures. The focus of treatment should be on prompt irrigation and debridement rather than administration of prophylactic antibiotics.© The Author(s) 2015.

2015 The Journal of hand surgery, European volume

12. A Comparison of K-Wire Versus Screw Fixation on the Outcomes of Distal Phalanx Fractures. (PubMed)

A Comparison of K-Wire Versus Screw Fixation on the Outcomes of Distal Phalanx Fractures. To compare K-wire and screw fixation of distal phalanx (DP) fractures with respect to union and functional outcome.This retrospective study identified patients with DP fractures from a clinic registry taken from 2007 to 2013. Clinical data collected included patient demographics, range of motion (ROM), removal of implant (ROI), and complications. Radiographic data collected included fracture type, location (...) comparable to those for K-wire fixation. Screw fixation of DP fractures resulted in greater distal interphalangeal joint motion compared with K-wire fixation but required removal in half of cases.Therapeutic III.Copyright © 2015 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

2015 Journal of Hand Surgery - American

13. Proximal Phalanx Fracture

Phalanx Fracture Aka: Proximal Phalanx Fracture From Related Chapters II. Signs Volar angulation of site Rotational deformity if oblique III. Management Reduction of transverse Apply traction away from tubercle of Flexion applied to distal fragment Immobilization for 4 weeks Splint in position of moderate flexion Open Reduction and Internal Fixation (ORIF) Indicated for unstable s Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term (...) Proximal Phalanx Fracture Proximal Phalanx Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Proximal Phalanx Fracture Proximal

2018 FP Notebook

14. Patient satisfaction after hook plate treatment of bony avulsion fracture of the distal phalanges (PubMed)

, no data concerning the subjective satisfaction with this method have been published. Therefore, we have analyzed the outcome after hook plate implantation using a self-assessment score, which focuses also on subjective parameters and satisfaction.Standardized questionnaires (self-assessment scores and SF-36 questionnaire) were sent to each patient treated with a hook plate due to fracture of the distal phalanx, type Doyle IVb and IVc. Clinical data were evaluated according to the medical record (...) Patient satisfaction after hook plate treatment of bony avulsion fracture of the distal phalanges Bony avulsion fractures of the distal phalanges can result in mallet finger deformity if not treated appropriately. Therefore, only minimally displaced fractures can be treated conservatively with a good outcome, as dislocation occurs very often. Several surgical treatment options have been developed during the past decades. Data concerning the recently developed hook plate are promising. So far

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2018 European Journal Of Medical Research

15. Distal phalanx fracture in adults: Seymour-type fracture. (PubMed)

Distal phalanx fracture in adults: Seymour-type fracture. Seymour's fracture is an extra-articular, transverse, physeal, and juxta-epiphyseal open fracture of the distal phalanx seen in childhood. In this study, we present 10 adult cases of fractures localized to the metaphyseal region, 1-2 mm distal to the insertion of the extensor tendon. Mean age was 38 years. Four patients were treated conservatively with a mallet finger splint. Closed reduction and osteosynthesis with Kirschner wires (K (...) -wires) was performed in three of the patients. Three of the patients had open fractures in whom closed reduction could not be performed. They underwent open reduction and osteosynthesis with K-wires. We recommend that extra-articular distal phalanx fractures mimicking mallet finger in adults are called Seymour-type fracture to establish a common language among clinicians to define this type of fracture. These fractures generally occur by hyperflexion of the distal phalanx and can be treated

2013 Journal of Hand Surgery - European

16. Irreducible dorsal epiphyseal fracture dislocation of the distal phalanx: a case report (PubMed)

Irreducible dorsal epiphyseal fracture dislocation of the distal phalanx: a case report 24426926 2014 01 15 2018 11 13 1558-9447 8 2 2013 Jun Hand (New York, N.Y.) Hand (N Y) Irreducible dorsal epiphyseal fracture dislocation of the distal phalanx: a case report. 235-8 10.1007/s11552-012-9489-y de Jong A A Department of Orthopaedic Surgery, West Suffolk Hospital, Hardwick Lane, IP33 2QZ, Bury St Edmunds, Suffolk, UK. Haddad B B Department of Orthopaedic Surgery, West Suffolk Hospital, Hardwick

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2013 Hand (New York, N.Y.)

17. Evaluation of Articular Surface Similarity of Hemi-Hamate Grafts and Proximal Middle Phalanx Morphology: A 3D Geometric Morphometric Approach. (PubMed)

Evaluation of Articular Surface Similarity of Hemi-Hamate Grafts and Proximal Middle Phalanx Morphology: A 3D Geometric Morphometric Approach. Hemi-hamate arthroplasty has been described as a viable treatment option for unstable proximal interphalangeal joint fracture-dislocations. The procedure uses a dorsal distal hamate osteochondral graft to recreate the injured volar middle phalanx (MP) proximal base. The purpose of this study was to evaluate the similarity in shape of these articular (...) surfaces using quantitative 3-dimensional methods.Three-dimensional virtual renderings were created from laser scans of the articular surfaces of the dorsal distal hamate and the volar MP bases of the index, middle, ring, and little fingers from cadaveric hands of 25 individuals. Three-dimensional landmarks were obtained from the articular surfaces of each bone and subjected to established geometric morphometric analytical approaches to quantify shape. For each individual, bone shapes were evaluated

2018 Journal of Hand Surgery - American

18. The Role of Prophylactic Antibiotics in Compound Fractures of the Distal Phalanges of the Hand

2006 Date Completed: 3rd May 2011 Last Modified: 3rd June 2011 Status: Green (complete) Three Part Question In [patients with compound fractures of the distal phalanges] are [antibiotics] required to [prevent osteomyelitis]. Clinical Scenario A patient presents with a fingertip injury that includes a laceration to the nail bed. The X-ray demonstrates a fracture of the distal phalanx. Should the patient receive antibiotics to prevent osteomyelitis, after appropriate wound toilet and closure? Search (...) , UK 193 patients >16 years old with an open fracture of the distal phalanx Randomised to placebo or flucloxacillin 500mg qds for 5 days, with all receiving wound toilet and tissue repair Excluded closed subungual haematoma & fracture, but include trephined subungual haematoma & fracture Exclusion criteria were wounds >12 hours old, Hx of diabetes, oral steroid therapy, fractures cause by a bite, those on an antibiotic, allergy to penicillin Randomised controlled trial, single blinded Infection

2011 BestBETS

19. Distal Phalanx Fracture

Distal Phalanx Fracture Distal Phalanx Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Distal Phalanx Fracture Distal Phalanx (...) Fracture Aka: Distal Phalanx Fracture , Tuft Fracture From Related Chapters II. Mechanism Usually blunt or crush injury to finger tip Stable because soft tissue support of septae III. Types: Fracture Longitudinal Transverse Comminuted IV. Signs Swollen and painful distal digit Examination points Distal interphalangeal joint (DIP) range of motion Distal V. Associated Conditions VI. Radiology XRay of digit (AP, lateral, oblique) VII. Management Open Extensive Cleaning and debridement Consider antibiotics

2015 FP Notebook

20. Marked Resorption of the Thumb Proximal Phalanx Following Open Reduction and K-Wire Fixation of a Phalangeal Neck Fracture in a Child: Case Report. (PubMed)

Marked Resorption of the Thumb Proximal Phalanx Following Open Reduction and K-Wire Fixation of a Phalangeal Neck Fracture in a Child: Case Report. We report on a child with nonunion of a phalangeal neck fracture of the thumb following open reduction and K-wire fixation. There was progressive resorption of the proximal but not the distal fracture fragment. Successful reconstruction was obtained using a non-vascularized iliac crest bone graft. Copyright © 2015 American Society for Surgery

2015 Journal of Hand Surgery - American

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