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2Diagnosis

Be careful to avoid overlap of other fingers in the x-rays.

Fixation options

Diagnosis is based on

  1. the clinical history of the trauma and mechanism of the injury
  2. the clinical examination of the patient
    1. palmar ecchimosis, swelling and pain in the area of detachment
    2. inability to flex the DIP joint. Make sure that flexion of the DIP joint is examined
  3. the x-rays

AP, lateral and oblique x-rays are necessary for diagnosis. Be careful to avoid overlap of other fingers in the x-rays.
Low-dosage radiographs, as used to visualize soft tissues, can be very useful to identify small flakes.