Executive Editor: Jörg Auer

Authors: Patricia Hogan

Phalanges Proximal sesamoid bones, Midbody

back to skeleton

Glossary

Nonsurgical management
Main indication Skill Equipment
Regain use of the limb Basic surgical experience, no specialized skills Basic equipment only


Internal fixation is primarily chosen to achieve primary healing and allow the best chance for a high-level athletic career.
However if internal fixation is not feasible because of comminution, the configuration of the fracture or financial constraint of the owner, these fractures can be managed conservatively.
Nonsurgical treatment will result in a fibrous union that is functional for less strenuous activities.

Screw fixation
Main indication Skill Equipment
Regain use of the limb Highly experienced and skilled surgeon Full specialized surgical and imaging resources
Midbody fractures of the proximal sesamoid bone

Midbody fractures of the proximal sesamoid bone represent good candidates for internal fixation by means of screw fixation in lag technique.

The primary indication for internal fixation is to achieve direct bone healing and allow the best chance for the return to a high-level athletic career. Conservative treatment will result in a fibrous union that is functional for less strenuous activities.

*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