Chapter

Metacarpal and phalangeal fractures

T.R.C. Davis and J.A. Oni

in Oxford Textbook of Trauma and Orthopaedics

Second edition

Published on behalf of Oxford University Press

Published in print August 2011 | ISBN: 9780199550647
Published online April 2011 | e-ISBN: 9780199608249 | DOI: http://dx.doi.org/10.1093/med/9780199550647.003.012028

Series: Oxford Textbooks

Metacarpal and phalangeal fractures

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Proximal phalanx unicondylar and spiral fractures most unstable

If axially stable can be considered for non-operative treatment

Kirschner wires offer stability without excessive soft tissue dissection

Ring and little finger metacarpal flexion deformity is well tolerated, but this is not the case for the radial metacarpals

Displaced proximal and middle phalanx fractures are a common cause of stiffness

Displaced condylar fractures are usually best reduced and fixed.

Chapter.  7390 words.  Illustrated.

Subjects: Trauma and Orthopaedic Surgery ; Surgical Skills

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