Phalangeal Fractures: Anatomy, Injuries and Treatment-Case-Phalangeal Fractures

Case-Phalangeal Fractures

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Phalangeal fractures in a 37-year-old female can be treated both nonoperatively and surgically. The expected outcome with nonoperative treatment is not specified. Surgical options have their own strengths and weaknesses, but they are not mentioned in the document.<br /><br />After undergoing ORIF (open reduction and internal fixation) four days after the injury, postoperative treatment options include splinting, casting, range of motion exercises, and formal hand therapy. However, specific guidelines for these options are not provided.<br /><br />On post-op week 4, active range of motion (AROM) is initiated, and flexion at the proximal interphalangeal (PIP) joint is measured to be 5-30°. Adjustments to the postoperative treatment are not mentioned in the document.<br /><br />Eight months post-op, the patient is pain-free and has achieved PIP joint active range of motion of 10-85° (passive range of motion is 0-85°). However, there is no mention of any adjustments made to the postoperative treatment at this stage.<br /><br />In summary, it is important to recognize deforming forces, assess rotation, and restore the articular surface when treating phalangeal fractures. Stiffness in the PIP joint is a common occurrence. However, specific details about the treatment plan or recommendations for adjustments in the postoperative treatment are not provided.

Keywords

phalangeal fractures

nonoperative treatment

surgical treatment

ORIF

postoperative treatment

splinting

casting

range of motion exercises

hand therapy

stiffness