Finger Fractures

Question 1

Important exam step in distal phalanx fractures?

Answer 1

-Two point discrimination (5mm is normal)

Question 2

When to refer finger fractures?

Answer 2

-angulated or displaced unable to be reduced (soft tissue can get in the way making it difficult)

Question 3

What is usual essential piece of material for management of these?

Answer 3

-U shaped padded aluminum splint

Question 4

What is mallet finger?

Answer 4

-avulsion of extensor tendon leaving unopposed flexion of DIP

Question 5

How to rule out mallet finger?

Answer 5

-must test active ROM at DIP joint

Question 6

What films to order for distal phalanx fracture?

Answer 6

-AP, lateral, and oblique films

Question 7

When to refer to ortho for mallet finger?

Answer 7

-only with volar subluxation, non-healing deformity, or swan neck deformity (hyperextension of PIP joint)

Question 8

Splinting for mallet finger?

Answer 8

-splint just DIP joint in slight hyperextension CONTINUOUSLY for 6-8wks

Question 9

What is jersey finger?

Answer 9

• flexor digitorum profundus avulsion (flexor tendon injury)
• type 1 = tendon retracts to palm (emergency)
• type 2 = most common, tendon retracts to PEP joint
• type 3 =