Finger fractures show a wide spectrum of variety and are a quite common injury (Oetgen and Dodds, 2008). A poorly treated finger fracture can have severe influce on functional activity during daily life activities (Oetgen and Dodds, 2008).
The phalanges are the small bones that make up the fingers. The bones are called proximal phalanx, middle phalanx and distal phalanx.
Main cause is direct trauma or fall on the finger/hand, trying to prevent a fall, work accidents when using drills or power saws.
Healing of the fracture can only occur in those fragments angulated in the line of the pull of the tendons. To preserve correct anatomical structures and optimal function after a fracture is the main goal during the healing phase. As soon as fracture stability is given, early passive or assisted physiotherapy is important to regain full functional mobility and strength. Usually immobilization over 4 weeks leads to long-term stiffness (due to capsular shrinkage and tendon scarring) (Oetgen and Dodds, 2008). If the fracture is unstable, surgery to perform internal fixation or traction splinting may be required.
Oetgen M. E. and Dodds S.D., 2008, Non-operative treatment of common finger injuries, Current Review in Musculoskeletal Medicine, 1(2), pp: 97-102