Common finger fractures and dislocations

James R. Borchers, Thomas M. Best

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Finger fractures and dislocations are common injuries that are often managed by family physicians. A systematic physical examination is imperative to avoid complications and poor outcomes following these injuries. Radiography (commonly anteroposterior, true lateral, and oblique views) is required in the evaluation of finger fractures and dislocations. Dorsal dislocation of the proximal interphalangeal joint is the most common type of finger dislocation. Finger dislocations should be reduced as quickly as possible and concurrent soft tissue injuries treated appropriately. Referral to a hand specialist is needed if a dislocation cannot be reduced; is unstable following reduction; or involves significant ligament, tendon, or soft tissue injury. Some common finger fractures can be treated conservatively with appropriate reduction and immobilization. Referral to a hand specialist is required if a fracture is unstable, involves a large portion (greater than 30 percent) of the intra-articular surface, or has significant rotation.

Original languageEnglish (US)
Pages (from-to)805-810
Number of pages6
JournalAmerican Family Physician
Volume85
Issue number8
StatePublished - Apr 15 2012
Externally publishedYes

    Fingerprint

ASJC Scopus subject areas

  • Family Practice

Cite this