Journal de traumatisme et de traitement

Different Modalities of Managing Intra-Articular Fracture of Proximal Phalanx of Thumb Depending on Fracture Presentation

Abstract

K.M. Nithin*, Neeraj R. Shetty, Harold Dsouza, Deepesh Daultani

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. The fracture is generally well seen on plain radiographs, angulation of these fractures is best seen on the lateral projection. The clinical consolidation is in 4 or 6 weeks; radiological consolidation takes longer. However, it should be noted that the fingers don't tolerate immobilization very well so it shouldn't exceed 3 weeks.

Treatment can be conservative in the case of a non-displaced fracture. Surgery is required in the case of an open fracture, when there is significant displacement or instability after reduction. In our study we have included 10 patients, 4 of whom were treated with Suzuki frame application and the other 6 were treated with josh external stabilization system (JESS).