Executive Editor: Chris Colton

Authors: Renato Fricker, Matej Kastelec, Fiesky Nuñez, Terry Axelrod

Thumb - Proximal phalanx: Metaphyseal (head), oblique

General considerations

Fractures of the distal metaphysis can be transverse, oblique, or comminuted.

Stable undisplaced fractures can be treated nonoperatively. Any displacement or instability will usually require ORIF.
Other indications for ORIF are open fractures, or soft-tissue lacerations. In these cases, ORIF is the best option.

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v1.0 2008-11-08