Fractures of the Phalanges

Fractures of the phalanges

Objectives

Describe a treatment approach for fractures of the phalanges
Describe indication( s) for open reduction of fractures of the phalanges

Discussion
Fractures of the phalanges in children are not common. They are usually a result of kicking a structure less yielding than a toe, or from a falling object. Management is based on clinical assessment. Taping the injured to the uninjured adjacent toe almost always suffices for treatment, a shortleg cast may be used for additional immobilization if necessary. The nailbeds should be exposed to ensure that malrotation of the injured toe is not present. Open reduction has been described for a displaced fracture of the physis.

References

Buch BD, Myerson MS. Salter-Harris type IV epiphyseal fracture of the proximal phalanx of the great toe. A case report. Foot & Ankle International 1995; 16: 216-19.
Weber BG, Brunner C, Freuler F. Treatment of fractures in Children and Adolexcents. New York: Springer-Verlag; 1980.