Fractures of the distal phalanx are the most common fractures in the hand.
The majority of fractures of the distal phalangeal diaphysis are closed and either undisplaced, or minimally displaced.
Most of these fractures are stable and can be treated nonoperatively with splintage.
Crush injuries often have associated soft tissue lacerations. Some of these are open fractures.
In general, attention should be paid to nail bed.