Davos Courses

Executive Editor: Jörg Auer

Authors: Jörg Auer

Phalanges Distal phalanx, Extensor process

back to skeleton

Glossary

Nonsurgical management
Main indication Skill Equipment
Return to athletic function Basic surgical experience, no specialized skills Basic equipment only


Return to athletic function

Resection
Main indication Skill Equipment
Return to soundness Highly experienced and skilled surgeon Full specialized surgical and imaging resources
Extensor process fractures of the distal phalanx

Small fragments

Small fragments are always removed under arthroscopic supervision, because they are mobile and have contact with the articular surface.

Extensor process fractures of the distal phalanx

Large fragments

Fresh large fragments may be attempted to be treated by means of screw insertion using lag technique under arthroscopic supervision.

Extensor process fractures of the distal phalanx

Conservative therapy for large fragments is rarely successful and leads to additional cartilage damage. Therefore they are best removed, either by splitting the large fragment into smaller ones, followed by subsequent removal one after the other or by using a bur to grind them away.

While horses with small fragments have a good prognosis following fragment removal, horses having large fragmens removed usually have a poor prognosis to return to competitive work.

*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

v1.3 2013-11-20