Skip to main content
SpringerLink
Log in
Book cover

Disorders of the Hand pp 195–216Cite as

Fractures of the Proximal Phalanx and Those Involving the Metacarpo-Phalangeal Joint

  • Chapter
  • First Online:

  • 3006 Accesses

Abstract

Fractures of the proximal phalanx are amongst the most common affecting the hand. In a large study by Stanton et al. [1], the proximal phalanx accounted for 17 % of 691 hand fractures studied. Although many of these fractures can be treated non-operatively [2], they can be unforgiving, particularly those affecting the phalangeal shaft [3].

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

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
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

Learn about institutional subscriptions

References

  1. Stanton JS, Dias JJ, Burke FD. Fractures of the tubular bones of the hand. J Hand Surg Eur. 2007;32(6):626–36.

    Article  CAS  Google Scholar 

  2. Barton N. Internal fixation of hand fractures. J Hand Surg. 1989;14B(2):139–42.

    Article  Google Scholar 

  3. Horton TC, Hatton M, Davis TRC. A prospective randomized controlled study of fixation of long oblique and spiral shaft fractures of the proximal phalanx: closed reduction and percutaneous Kirschner wiring versus open reduction and lag screw fixation. J Hand Surg Eur. 2003;28(1):5–9.

    Article  CAS  Google Scholar 

  4. James JI. Fractures of the proximal and middle phalanges of the fingers. Acta Orthop Scand. 1962;32:401–12.

    Article  CAS  PubMed  Google Scholar 

  5. Belsky MR, Eaton RG, Lane LB. Closed reduction and internal fixation of proximal phalangeal fractures. J Hand Surg. 1984;9A:725–9.

    Article  Google Scholar 

  6. Green DP, Anderson JR. Closed reduction and percutaneous pin fixation of fractured phalanges. J Bone Joint Surg. 1973;55A:1651–3.

    Google Scholar 

  7. Hornbach EE, Cohen MS. Closed reduction and percutaneous pinning of fractures of the proximal phalanx. J Hand Surg. 2001;26B(1):45–9.

    Article  Google Scholar 

  8. Ford DJ, El-Hadidi S, Lunn PG, Burke FD. Fractures of the phalanges: results of internal fixation using 1.5 mm and 2 mm A.O. screws. J Hand Surg. 1987;12B(1):28–33.

    Article  Google Scholar 

  9. Shewring DJ, Thomas RH. Avulsion fractures from the base of the proximal phalanges of the fingers. J Hand Surg Eur. 2003;28(1):10–4.

    Article  CAS  Google Scholar 

  10. Lister GD. Intra-osseous wiring of the digital skeleton. J Hand Surg. 1978;3:427–35.

    Article  CAS  Google Scholar 

  11. Dixon GL, Moon NF. Roational supracondylar fractures of the proximal phalanx in children. Clin Orthop Relat Res. 1972;188:120–30.

    Google Scholar 

  12. Newington DP, Craigen MA, Bennet GC. Children’s proximal phalangeal neck fractures with 180 rotation deformity. J Hand Surg. 1995;20B(3):353–6.

    Article  Google Scholar 

  13. Hastings 2nd H, Carroll CT. Treatment of closed articular fractures of the metacarpophalangeal and proximal interphalangeal joints. Hand Clin. 1988;4:503–27.

    PubMed  Google Scholar 

  14. Sammut D, Evans D. The bone tie: a new device for interfragmentary fixation. J Hand Surg. 1999;24B(1):64–9.

    Article  Google Scholar 

  15. Day CS, Stern PJ. Chapter 8. Fractures of the metacarpals and phalanges. In: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, editors. Green’s operative hand surgery, vol. 1. 6th ed. Philadelphia: Elsevier/Churchill Livingstone; 2011. p. 239–90.

    Chapter  Google Scholar 

  16. Teoh LC, Yong FC, Chong KC. Advancement osteotomy for correcting condylar malunion of the finger. J Hand Surg. 2002;26B(1):31–5.

    Article  Google Scholar 

  17. Smith FL, Ryder DL. A study of the healing of one hundred consecutive phalangeal fractures. J Bone Joint Surg. 1935;17A:91–109.

    Google Scholar 

  18. Jupiter JB, Koniuch MP, Smith RJ. The management of delayed union and nonunion of the metacarpals and phalanges. J Hand Surg. 1985;10A:457–66.

    Article  Google Scholar 

  19. Buchler U, Gupta A, Ruf S. Corrective osteotomy for post traumatic malunion of the phalanges in the hand. J Hand Surg. 1996;21B(1):33–42.

    Article  Google Scholar 

  20. Menon J. Correction of rotary malunion of the fingers by metacarpal rotational osteotomy. Orthopaedics. 1990;13:197–200.

    CAS  Google Scholar 

  21. Shewring DJ, Thomas RH. Collateral ligament avulsion fractures from the heads of the metacarpals of the fingers. J Hand Surg Eur. 2006;31(5):537–41.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Trauma and Orthopaedics, University Hospital of Wales, Heath Park, Cardiff, CF14 4XW, UK

    David J. Shewring MBBCh,FRCS(Orth),DipHandSurg(Eur)

Authors
  1. David J. Shewring MBBCh,FRCS(Orth),DipHandSurg(Eur)
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to David J. Shewring MBBCh,FRCS(Orth),DipHandSurg(Eur) .

Editor information

Editors and Affiliations

  1. Wrightington Hospital, Wigan, Lancashire, United Kingdom

    Ian A. Trail

  2. St George's Hospital, London, United Kingdom

    Andrew N.M. Fleming

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag London

About this chapter

Cite this chapter

Shewring, D.J. (2015). Fractures of the Proximal Phalanx and Those Involving the Metacarpo-Phalangeal Joint. In: Trail, I., Fleming, A. (eds) Disorders of the Hand. Springer, London. https://doi.org/10.1007/978-1-4471-6554-5_9

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-6554-5_9

  • 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

Search

Navigation