Skip to main content

Distal Interphalangeal Joint and Fractures of the Distal Phalanx

  • Chapter
  • First Online:
Disorders of the Hand

Abstract

In this chapter we address injuries to the tips of the fingers and the disorders of the distal interphalangeal joint. It is important to appreciate that trauma to this area produces a variety of injury patterns, not only to the distal phalanx itself, but also to the other surrounding non-bony structures (Fig. 7.1). Injury to the tip of the finger is common and accounts for approximately half of all hand injuries [1] and is usually the result of a sporting, occupational or domestic accident. These injuries are important to recognise and treat appropriately to maintain hand function and prevent permanent disability.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Hove LM. Fractures of the hand. Distribution and relative incidence. Scand J Plast Reconstr Surg Hand Surg. 1993;27(4):317–9.

    CAS  PubMed  Google Scholar 

  2. Zook EG. Anatomy and physiology of the perionychium. Hand Clin. 1990;6:1–7.

    CAS  PubMed  Google Scholar 

  3. Zook EG. Fingernail injuries. In: Strickland JW, Steichen JB, editors. Difficult problems in hand surgery. St. Louis: CV Mosby; 1982.

    Google Scholar 

  4. Seaberg DC, Angelos WJ, Paris PM. Treatment of subungual hematomas with nail trephination: a prospective study. Am J Emerg Med. 1991;9:209–10.

    Article  CAS  PubMed  Google Scholar 

  5. Schneider LH. Fractures of the distal phalanx. Hand Clin. 1988;4:537–47.

    CAS  PubMed  Google Scholar 

  6. Seymore N. Juxta-epiphyseal fracture of the terminal phalanx of the finger. J Bone Joint Surg (Br). 1966;48(2):347–9.

    Google Scholar 

  7. Day CS, Stern PJ. Chapter 8. Fractures of the metacarpals and phalanges. In: Green’s operative hand surgery, vol. I. 6th ed. Elsevier: Churchill Livingstone; Philadelphia 2010. p. 239–90.

    Google Scholar 

  8. Hamas RS, Horrell ED, Pierret GP. Treatment of mallet finger due to intra-articular fracture of the distal phalanx. J Hand Surg [Am]. 1978;3:361–3.

    Article  CAS  Google Scholar 

  9. McCue 3rd FC, Wooten SL. Closed tendon injuries of the hand in athletics. Clin Sports Med. 1986;5:741–55.

    PubMed  Google Scholar 

  10. Leddy JP, Packer JW. Avulsion of the profundus tendon insertion in athletes. J Hand Surg [Am]. 1977;2:66–9.

    Article  CAS  Google Scholar 

  11. Henry SL, Katz MA, Green DP. Type IV FDP avulsion: lessons learned clinically and through review of the literature. Hand (N Y). 2009;4(4):357–61.

    Article  Google Scholar 

  12. Fox J, Golden G, Rodeheaver G, Edgerton M, Edlich R. Nonoperative management of fingertip pulp amputation by occlusive dressings. Am J Surg. 1977;133(2):255–6.

    Article  PubMed  Google Scholar 

  13. Moienem NS, Elliot D. Composite graft replacement of digital tips. A study in children. J Hand Surg (Br). 1997;22(3):346–52.

    Article  Google Scholar 

  14. Wilhelmi BJ, Blackwell SJ, Miller JH. Do not use epinephrine in digital blocks: myth or truth? Plast Reconstr Surg. 2001;107:393–7.

    Article  CAS  PubMed  Google Scholar 

  15. Chowdhry S, Seidenstricker L, Cooney D. Do not use epinephrine in digital blocks: myth or truth? Part II. A retrospective review of 1111 cases. Plast Reconstr Surg. 2010;126(6):2031–4.

    Article  CAS  PubMed  Google Scholar 

  16. NHS Rapid Response Report NPSA/2009/RRR007: reducing risks of tourniquets left on after finger and toe surgery, December 2009

    Google Scholar 

  17. Teoh LC, Lee JYL. Mallet fractures: a novel approach to internal fixation using a hookplate. J Hand Surg (Br & Eur). 2007;32(1):24–30.

    Article  CAS  Google Scholar 

  18. Theivendran K, Mahon A, Rajaratnam V. A novel hook plate fixation technique for the treatment of mallet fractures. Ann Plast Surg. 2007;58(1):112–5.

    Article  CAS  PubMed  Google Scholar 

  19. Chim H, Teoh LC, Yong FC. Open reduction and interfragmentary screw fixation for symptomatic nonunion of distal phalangeal fractures. J Hand Surg (Eur). 2008;33(1):71–6.

    Article  CAS  Google Scholar 

  20. DaCruz DJ, Slade RJ, Malone W. Fractures of the distalphalanges. J Hand Surg (Br). 1988;13:350–2.

    Article  CAS  Google Scholar 

  21. Kocak E, Carruthers KH, Kobus R. Distal interphalangeal joint arthrodesis with the Herbert headless compression screw: outcomes and complications in 64 consecutively treated joints. Hand (N Y). 2011;6(1):56–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Subodh Deshmukh MS,MCh(Orth),FRCS,FRCSG,(Orth) .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag London

About this chapter

Cite this chapter

Deshmukh, S., Armitstead, C. (2015). Distal Interphalangeal Joint and Fractures of the Distal Phalanx. In: Trail, I., Fleming, A. (eds) Disorders of the Hand. Springer, London. https://doi.org/10.1007/978-1-4471-6554-5_7

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-6554-5_7

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6553-8

  • Online ISBN: 978-1-4471-6554-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics