Executive Editor: Jörg Auer

Authors: Lawrence Bramlage, Alan Ruggles, Jörg Auer, Jeffrey Watkins, Patricia Hogan

Phalanges

back to skeleton

Glossary

Proximal phalanx: Short incomplete fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonsurgical management Racing horses. Basic surgical experience, no specialized skills Basic equipment only
Screw fixation Warmblood horses and racing horses. Some specialized surgical experience Basic equipment only

Proximal phalanx: Long incomplete fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Screw fixation Return to athletic function Basic surgical experience, no specialized skills Basic equipment only

Proximal phalanx: Complete uniarticular fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Screw fixation Return to athletic function Some specialized surgical experience Basic equipment only

Proximal phalanx: Complete biarticular fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Screw fixation Return to athletic function Some specialized surgical experience Basic equipment only

Proximal phalanx: Dorsal complete biarticular fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Screw fixation Return to athletic function Some specialized surgical experience Basic equipment only

Proximal phalanx: Palmar/plantar eminence fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Screw fixation Return to athletic function Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Proximal phalanx: Multifragmentary fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Screw fixation Fractures with one intact strut of bone. Highly experienced and skilled surgeon Simple surgical and imaging resources

Proximal phalanx: Transverse body fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Double-plate fixation Return to athletic function Some specialized surgical experience Basic equipment only

Angular limb deformities

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonsurgical management Only for deformities of the proximal phalanx Basic surgical experience, no specialized skills Basic equipment only
Growth retardation Only for deformities of the proximal phalanx Basic surgical experience, no specialized skills Basic equipment only
Growth acceleration Only for deformities of the proximal phalanx Basic surgical experience, no specialized skills Basic equipment only
Corrective osteotomies Only for deformities of the proximal phalanx Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Middle phalanx: Uniaxial eminence fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Plate fixation/transarticular lag screws Return to athletic function Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Middle phalanx: Biaxial eminence fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Double-plate fixation Return to athletic function Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Middle phalanx: Dorsal subluxation

Please select a treatment option:
Treatment Main indication Skill Equipment
Plate fixation/transarticular lag screws Return to athletic function Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Middle phalanx: Complete luxation

Please select a treatment option:
Treatment Main indication Skill Equipment
Double-plate fixation Return to athletic function Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Middle phalanx: Multifragmentary fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Double-plate fixation Return to athletic function Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Middle phalanx: Degenerative joint disease (DJD)

Please select a treatment option:
Treatment Main indication Skill Equipment
Plate fixation/transarticular lag screws Return to athletic function Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Distal phalanx: Solar margin fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Resection Return to soundness Basic surgical experience, no specialized skills Basic equipment only

Distal phalanx: Abaxial nonarticular fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonsurgical management Return to athletic function Basic surgical experience, no specialized skills Basic equipment only

Distal phalanx: Extensor process fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonsurgical management Return to athletic function Basic surgical experience, no specialized skills Basic equipment only
Resection Return to soundness Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Distal phalanx: Sagittal and perisagittal fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Screw fixation Return to soundness Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Distal phalanx: Abaxial articular fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Screw fixation Return to athletic function Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Distal phalanx: Multifragmentary fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Screw fixation and resection Regain use of the limb Basic surgical experience, no specialized skills Basic equipment only

Proximal sesamoid bones: Apex fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Fragment removal Return to athletic function Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Proximal sesamoid bones: Midbody fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonsurgical management Regain use of the limb Basic surgical experience, no specialized skills Basic equipment only
Screw fixation Regain use of the limb Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Proximal sesamoid bones: Basilar fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Screw fixation Regain use of the limb Highly experienced and skilled surgeon Full specialized surgical and imaging resources
Fragment removal Regain use of the limb Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Proximal sesamoid bones: Abaxial fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Fragment removal Regain use of the limb Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Proximal sesamoid bones: Comminuted fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonsurgical management Regain use of the limb Basic surgical experience, no specialized skills Basic equipment only

Distal sesamoid bones fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonsurgical management For pleasure horse Basic surgical experience, no specialized skills Basic equipment only
Screw fixation Regain athletic function Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Distal interphalangeal joint: Degenerative joint disease

Please select a treatment option:
Treatment Main indication Skill Equipment
Arthrodesis with plate and screws Regain use of the limb Highly experienced and skilled surgeon Full specialized surgical and imaging resources

Fetlock joint disruption

Please select a treatment option:
Treatment Main indication Skill Equipment
Arthrodesis: tension bad using wires or the sesamoid bones Return to soundness Highly experienced and skilled surgeon Full specialized surgical and imaging resources
*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