Conservative management of difficult phalangeal fractures

F. A. Reyes, L. L. Latta

Research output: Contribution to journalArticle

28 Scopus citations


Stable fractures of the metacarpal and proximal phalanges can be treated satisfactorily by closed methods. The problem in those unstable fractures is whether to treat with open or closed reduction. Stiffness of the proximal interphalangeal joint (PIP), malunion, rotation deformities, shortening, and nonunion are known complications of fractures of the proximal phalanx. Fractures at the base of the proximal phalanx have low incidence of complications if they are treated closed. Fractures at the shaft carry a much larger risk of complications with either type of treatment. This study of 158 fractures of the proximal phalanx demonstrates that there is a place for conservative treatment in the management of unstable shaft fractures of the proximal phalanx.

Original languageEnglish (US)
Pages (from-to)23-30
Number of pages8
JournalClinical orthopaedics and related research
VolumeNo. 214
StatePublished - Jan 1 1987


ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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