Question: How Do You Treat A Broken Proximal Phalanx?

How long does it take for a proximal phalanx fracture to heal?

Many stable phalanx fractures can be treated nonoperatively through close monitoring until clinical healing is noted.

Proximal phalanx fractures will often be clinically healed 4 weeks status post injury, at which time it is unlikely that the fracture will displace..

What does the proximal phalanx do?

The proximal phalanges are those that are closest to the hand or foot. In the hand, the prominent, knobby ends of the phalanges are known as knuckles. The proximal phalanges join with the metacarpals of the hand or metatarsals of the foot at the metacarpophalangeal joint or metatarsophalangeal joint.

How long does a fractured knuckle take to heal?

Usually, it is for about 3 weeks. Most fractures heal well. After healing, your knuckle may look different or your finger may move in a different way when you close your hand.

Where is proximal phalanx located?

Proximal phalanges (foot) are the largest bones in the toe. They form the base of the toe and are a separate bone from the middle phalanges (the center bones in the toes) and the distal phalanges (the bones at the tip of the toes). They are connected to the metatarsals, or long bones in the feet, by cartilage.

What is a proximal bone?

The proximal row contains (from lateral to medial) the scaphoid, lunate, triquetrum, and pisiform bones. The distal row contains (from medial to lateral) the hamate, capitate, trapezoid, and trapezium bones.

What is a proximal phalanx fracture?

Proximal phalanx fractures can be epiphyseal or shaft fractures and can be intra-articular or extra-articular. They are most often the result of forced rotation, hyperextension or direct trauma 2.

How is a phalangeal fracture treated?

Treatment consists of open reduction and internal fixation of the intra-articular fracture with reinsertion of the profundus tendon. For fractures of the middle phalanx, if conservative treatment is not sufficient, then percutaneous pinning or open reduction using K-wires is used.

What happens if you leave a broken knuckle untreated?

When a bone fracture is untreated, it can result in either a nonunion or a delayed union. In the former case, the bone doesn’t heal at all, which means that it will remain broken. As a result, swelling, tenderness, and pain will continue to worsen over time.

Is a fracture a break?

A crack (not only a break) in the bone is also known as a fracture. Fractures can occur in any bone in the body. There are several different ways in which a bone can fracture; for example, a break to the bone that does not damage surrounding tissue or tear through the skin is known as a closed fracture.

Is a thumb a finger?

A thumb is a digit, but not technically a finger. Many people don’t make the distinction between thumbs and other digits.

How long does a non displaced fracture take to heal?

Fortunately, nearly 80 percent of all shoulder fractures are non-displaced. This implies that the broken pieces remain near their anatomic position and treatment merely requires immobilization in a sling until the bone fragments heal. Most shoulder fractures heal in about six weeks.

How do I know if my distal phalanx is broken?

Distal Phalanx Fractures On clinical examination, the fingertip is swollen and painful. Extensive soft tissue damage to the finger pulp with associated nail bed laceration may occur. Examination should include evaluation of the motion of the distal interphalangeal joint (DIPJ) and two-point discrimination.

Can a broken knuckle heal without a cast?

Sometimes, a doctor will “reduce” the fracture, or put the knuckle back into place. When this is the case, they may place a special cast around the thumb or hand to stabilize the fracture and allow it to heal without surgery. If this is not possible, they may use a splint or a brace.

Does a broken knuckle require a cast?

Recovering from a broken knuckle can be challenging. You might not have full use of the affected hand and fingers for a while. You might have to wear a cast or a splint for several weeks. A doctor might take more X-rays after two or three weeks in order to ensure your knuckle is healing properly.