Fractures of the phalanx are common, and fractures of the proximal phalanx can lead to significant disability if not treated appropriately.
Be sure to check for malrotation, which is a common problem. Check for this by examing for the normal cascade in finger flexion with the tips of the fingers pointing toward the proximal portion of the scaphoid
Acceptable Reduction:
No rotational deformity can be accepted
No more than 10 deg of angulation should be accepted in any plane
Malreduction will cause loss of equilibrium between flexor and extensor tendons.
Place the splint on the dorsum side of the finger so that the patient can still have sensation of the tip of their finger tip.
Patients requiring prompt referral to a hand surgeon are those with:
