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Proximal Phalanx Fracture

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2. Stress fracture of the second proximal phalanx of the foot in teenage athletes: Unrecognized location of stress fracture (PubMed)

Stress fracture of the second proximal phalanx of the foot in teenage athletes: Unrecognized location of stress fracture Adolescent athletes are a high-risk population for stress fractures. We report four cases of stress fractures of the second proximal phalanx, which had not been previously diagnosed as the location of the stress fracture of the foot, in teenage athletes.All fractures were on the plantar side of the proximal phalangeal base, and the oblique images of the plain radiograph (...) clearly depicted the fractures. Notably, three out of the four patients had histories of stress fracture of other locations. While three athletes with acute cases were able to make an early return to play with simple conservative management, the chronic case required surgical treatment for this rare injury.Although a rare injury, it is important that clinicians be aware of this type of stress fracture, as a timely diagnosis can avoid the need for surgical treatment and allow an early return to play.

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2017 Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology

3. Early Functional Treatment of Proximal Phalanx Fractures in Children: A Case Series Study. (PubMed)

Early Functional Treatment of Proximal Phalanx Fractures in Children: A Case Series Study. The objective of this study was to assess proper indications a nonsurgical treatment regime for pediatric fractures of the proximal phalanx based on principles of early functional treatment.A case series (evidence level 4) of 30 pediatric patients with fractures of the proximal phalanx were treated nonsurgically using protective dynamic splinting techniques and fiberglass casting material. Assessments (...) splints. Fingertip palm distance measurements at endpoints were of 0.17 ± 0.27 cm (mean ± SD), which indicated an almost free range of finger motion. Absence of pain perception under active finger motion (dynamic pain interval) was noted at 14.10 ± 6.79 days (mean ± SD).Well-established criteria for surgical treatment of phalangeal fractures exist. However, in our experience, a majority of pediatric fractures of the proximal phalanx can be safely treated nonsurgically with dynamic splinting along

2018 Pediatric Emergency Care

4. Early active motion after rigid internal fixation of unstable extra-articular fractures of the proximal phalanx. (PubMed)

Early active motion after rigid internal fixation of unstable extra-articular fractures of the proximal phalanx. The purpose of this study is to describe active early rehabilitation in proximal phalanx fractures treated with rigid internal fixation. A total of 22 consecutive patients presenting with spiral, oblique or comminuted extra-articular fractures of the proximal phalanx were included in the study. All fractures were rigidly stabilized with plate and screws or screws alone (...) and subsequently entered an active early rehabilitation programme. The mean follow-up period was 15.4 months (SD 10.1). Mean visual analogue scale pain score was 0.3 (SD 0.5) and Disability of the Arm, Shoulder and Hand score was 9.2 (SD 4.1). Mean total active motion was 241.9° (SD 18.3). According to the digital functional assessment, 86.3% of the patients had excellent results. Extension lags of the proximal interphalangeal joint were observed in seven fingers (mean lag, 3.4° (SD 5.5)). The results

2017 Journal of Hand Surgery - European

5. 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

6. Closed reduction and percutaneous “periarticular” single K-wire fixation for displaced unstable transverse fractures of the proximal phalanx in elderly osteoporotic women: A case series of five patients (PubMed)

Closed reduction and percutaneous “periarticular” single K-wire fixation for displaced unstable transverse fractures of the proximal phalanx in elderly osteoporotic women: A case series of five patients A literature review did not reveal any study investigating the results of surgical management of fractures of the proximal phalanx in elderly osteoporotic women. We present a case series of five patients.Five consecutive cases with seven fractures of the shaft/base of the proximal phalanx (...) case. After a mean follow-up of 4 months, the total active motion was considered excellent in 5 fingers and good in 2 fingers.We demonstrate a favorable outcome following closed reduction and percutaneous "periarticular" single K-wire fixation for displaced unstable transverse fractures of the proximal phalanx in elderly osteoporotic women.Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

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2017 International journal of surgery case reports

7. Tethering the Extensor Apparatus Limits PIP Flexion Following K-wire Placement for Pinning Extra-articular Fractures at the Base of the Proximal Phalanx (PubMed)

Tethering the Extensor Apparatus Limits PIP Flexion Following K-wire Placement for Pinning Extra-articular Fractures at the Base of the Proximal Phalanx Background: Closed reduction with percutaneous Kirschner wires (K-wires) is the most minimally invasive surgical option for stabilizing phalanx fractures. This study examines the effect of K-wire placement on proximal interphalangeal (PIP) joint motion. Methods: PIP joint flexion was measured in the digits of 4 fresh-frozen cadaver hands after (...) placing a suture loop through the flexor tendons and placing tension on the flexors via a mechanical scale. The load necessary to flex the PIP joint to 90° or to maximum flexion was recorded. The load was removed and K-wires were inserted in 3 locations about the metacarpophalangeal joint (MPJ): through the extensor tendon and across the MPJ, adjacent to the extensor tendon insertion site and across the MPJ, and through the sagittal band and into the base of the proximal phalanx (P1). The load

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2016 Hand (New York, N.Y.)

8. Fifth Proximal Phalanx Epiphyseal Fracture

Fifth Proximal Phalanx Epiphyseal Fracture Fifth Proximal Phalanx Epiphyseal 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 (...) Fifth Proximal Phalanx Epiphyseal Fracture Fifth Proximal Phalanx Epiphyseal Fracture Aka: Fifth Proximal Phalanx Epiphyseal Fracture From Related Chapters II. Signs Type II of fifth proximal phalanx Displaced into abduction III. Management Reduction Apply traction Small finger in slight flexion Pull in direction away from tubercle Adduct finger against physician's finger as fulcrum Immobilize Buddy Tape to ring finger Padded splint for 4 weeks Images: Related links to external sites (from Bing

2018 FP Notebook

9. Proximal Phalanx Fracture

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 (...) 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

2018 FP Notebook

10. Salter-Harris type IV fracture of the proximal phalanx of the thumb with rotation of the epiphysis: Outcome 10 years following open reduction and K-wire fixation (PubMed)

Salter-Harris type IV fracture of the proximal phalanx of the thumb with rotation of the epiphysis: Outcome 10 years following open reduction and K-wire fixation Salter-Harris type IV fracture of the proximal phalanx with 90° rotation of the epiphysis is very rare. We report on a case of Salter-Harris type IV fracture of the proximal phalanx of the thumb with rotation of the epiphysis and document the outcome 10 years after surgery.A 5-year old boy presented with Salter-Harris type IV fracture (...) to the contralateral normal side.After an extensive literature review, we found one reported case which was similar to our case and had long term assessment. At skeletal maturity, there was complete remodeling and full range of motion of the digit with no shortening. The X-ray showed a constricted diaphysis of the proximal phalanx with an identical appearance to our case.We present a rare case of Salter-Harris type IV fracture of the proximal phalanx of the thumb with rotation of the epiphysis. Long term outcome

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2016 International journal of surgery case reports

11. 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

2018 Journal of Hand Surgery - American

12. 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

13. 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

14. Does subchondral bone of the equine proximal phalanx adapt to race training? (PubMed)

Does subchondral bone of the equine proximal phalanx adapt to race training? Sagittal fractures of the first phalanx are a common, potentially catastrophic injury in racehorses. These fractures are often linked to an acute, one time, biomechanical event; however, recent evidence implies that chronic exposure to stress can lead to the accumulation of bony changes that affect the structural integrity of the bone and increase the likelihood of fracture. The aim of the study was to compare (...) variations of two common metrics of bone adaptation - subchondral bone density and thickness across the proximal articular surface of the first phalanx in Thoroughbred horses that (1) raced but never experienced a first phalanx fracture (Raced Control); (2) raced and had experienced fracture of the contralateral first phalanx (Contralateral to Fracture); (3) had never raced or experienced a first phalanx fracture (Unraced Control). A total of 22 first phalangeal bones were sampled post-mortem and imaged

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2016 Journal of anatomy

15. 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

16. Flexor Tendon Entrapment at the Malunited Base Fracture of the Proximal Phalanx of the Finger in Child: A Case Report. (PubMed)

Flexor Tendon Entrapment at the Malunited Base Fracture of the Proximal Phalanx of the Finger in Child: A Case Report. The proximal phalangeal base is the most commonly fractured hand bone in children. Such fractures are rarely reported as irreducible due to flexor tendon entrapment. Here, we describe a patient who sustained a malunited fracture on the right fifth finger proximal phalanx with flexor tendon entrapment after treatment with closed reduction with K-wires fixation.A 13-year-old (...) patient came to the clinic following a bicycle accident 6 weeks ago. He presented with flexion limitation in his small finger on the right hand. During physical examination, the patient felt no pain, and the neurovascular structures were intact. However range of motion (ROM) in his small finger was not normal. Plain radiographs displayed a Salter-Harris type II fracture of the small finger proximal phalanx base and volar angulation with callus formation. During the operation, it was established

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2015 Medicine

17. Unexpected Salter-Harris type II fracture of the proximal phalanx of the second toe: a chiropractic perspective (PubMed)

Unexpected Salter-Harris type II fracture of the proximal phalanx of the second toe: a chiropractic perspective To discuss the diagnosis and management of a Salter-Harris type II fracture in a nine-year-old girl who was managed conservatively.A nine-year-old girl fell while playing in bare feet in the grass. She experienced pain when she walked or moved her toe. There was minor swelling and bruising.Plain film radiographs revealed a Salter-Harris type II fracture of the 2(nd) proximal phalanx (...) . Her toe was stabilized and she was referred to an orthopedist. Orthopedic management involved a taping procedure. After three weeks, her fracture healed and she was pain free.Chiropractors may consider radiography of post-traumatic injury sites even with equivocal examination findings despite histories suggesting seemingly innocuous mechanisms of injury.

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2015 The Journal of the Canadian Chiropractic Association

18. Two Versus 3 Lag Screws for Fixation of Long Oblique Proximal Phalanx Fractures of the Fingers: A Cadaver Study. (PubMed)

Two Versus 3 Lag Screws for Fixation of Long Oblique Proximal Phalanx Fractures of the Fingers: A Cadaver Study. To compare 2- versus 3-screw fixation for oblique fractures of the proximal phalanx in a cadaver model that simulates active finger motion.We experimentally cut the proximal phalanges of the index, middle, and ring fingers of 9 cadaveric hands. Five fingers were assigned to a control group with no fixation, and 22 were fixed with either 2 or 3 lag screws. One digit was excluded (...) of these groups were equivalent with a power of 90%.Biomechanical stability during simulated active motion protocol did not differ in simulated proximal phalanx fractures treated with 2 lag screws or 3.Fracture fixation using 2 screws may be more cost and time effective and, therefore, more attractive to the surgeon, even when 3 screws can be placed. Furthermore, surgeons may consider using 2 screws rather than resorting to plate fixation when 3-screw fixation is not possible for these types

2015 Journal of Hand Surgery - American

19. 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

20. Outcomes of Closed Reduction and Periarticular Pinning of Base and Shaft Fractures of the Proximal Phalanx. (PubMed)

Outcomes of Closed Reduction and Periarticular Pinning of Base and Shaft Fractures of the Proximal Phalanx. To review the results of periarticular pinning of extra-articular fractures of the proximal phalanx base and shaft.A retrospective review was performed of the senior author's practice (C.S.M.) from 2006 to 2012. The inclusion criteria were patients older than 18 years of age who underwent periarticular pinning of base or shaft fractures of the proximal phalanx. Age, sex, fracture location (...) fractures were not significantly different.Percutaneous periarticular pinning is an acceptable option for unstable base and shaft fractures of the proximal phalanx. Most fractures healed within 4 weeks. The majority of patients had excellent or good results.Therapeutic IV.Copyright © 2014 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

2014 Journal of Hand Surgery - American

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