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.
If the fracture is irreducible, ORIF is indicated.
Other indications for ORIF are open fractures, or soft-tissue
Outcome of fractures of the middle phalanx is usually more favourable that in
the proximal phalanx. This is largely due to the fact that limitations in DIP
joint motion is not as great a problem as similar limitations in the PIP and MP