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Transverse and Short Oblique Phalangeal Fractures

  • Alan E. Freeland
  • Michael E. Jabaley
  • James L. Hughes

Abstract

Transverse phalangeal fractures result from direct blows to the digits or severe flexion-extension forces. Not infrequently, there is an open wound and an accompanying tendon injury. Transverse phalangeal shaft fractures may be completely displaced and accompanied by severe swelling, and closed reduction becomes difficult if not impossible. This situation is an indication for open reduction and internal fixation. Angulation is volar and may be quite deceptive and, therefore, easy to underestimate as the transverse fracture approaches the metacarpophalangeal joint. It is extremely important in such injuries to obtain a true lateral x-ray of the digit and to measure the actual angulation.

Keywords

Shaft Fracture Closed Reduction Tension Band Proximal Phalanx Rotational Alignment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag New York Inc. 1986

Authors and Affiliations

  • Alan E. Freeland
    • 1
    • 2
  • Michael E. Jabaley
    • 3
    • 4
  • James L. Hughes
    • 5
    • 6
  1. 1.Section of Hand SurgeryUniversity of Mississippi Medical CenterJacksonUSA
  2. 2.Jackson Veteran’s Administration Hospital, Mississippi Methodist Rehabilitation Center, Blake Clinic for Crippled Children and Mississippi Children’s Rehabilitation CenterJacksonUSA
  3. 3.Division of Plastic SurgeryUniversity of Mississippi Medical CenterJacksonUSA
  4. 4.St. Dominic’s-Jackson Health Services Center, Mississippi Baptist Medical Center, River Oaks Hospital, Mississippi Methodist Rehabilitation CenterJacksonUSA
  5. 5.Division of Orthopaedic SurgeryUniversity of Mississippi Medical CenterJacksonUSA
  6. 6.Jackson Veteran’s Administration Hospital, Mississippi Methodist Rehabilitation Center, Blake Clinic for Crippled Children and Mississippi Children’s Rehabilitation CenterJacksonUSA

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