Davos Courses

Executive Editor: Chris Colton

Authors: Fiesky Nuñez, Renato Fricker, Matej Kastelec, Terry Axelrod

Middle phalanx - Shaft, transverse

back to Hand overview

Glossary

General considerations

Fractures of the diaphysis can be transverse, oblique, spiral, or comminuted. Reduction is achieved by traction and digital manipulation. When the fracture is stable, it can be treated nonoperatively.

Nonoperative treatment
Main indication Skill Equipment
Minimally displaced, stable fractures Basic surgical experience, no specialized skills Basic equipment only

Contraindications

  • Open fractures
K-wire fixation
Main indication Skill Equipment
Open fracture or gross displacement Basic surgical experience, no specialized skills Basic equipment only

Contraindications

  • Poor soft tissues
Compression plate fixation
Main indication Skill Equipment
Open fracture or gross displacement Highly experienced and skilled surgeon Simple surgical and imaging resources

Contraindications

  • Poor soft tissues
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v1.0 2008-11-08