Types of Finger Fractures
- Proximal phalanx fractures — most commonly injured finger bone; prone to rotational deformity
- Middle phalanx fractures — can involve the PIP joint and require careful attention
- Distal phalanx fractures — often associated with nail bed injuries
- Metacarpal fractures — including boxer's fracture (5th metacarpal neck) and Bennett's fracture (thumb metacarpal base)
Why Proper Treatment Matters
Even small degrees of malrotation produce visible scissoring of the fingers when making a fist — a functional problem difficult to correct once healed. Dr. Richards evaluates rotational alignment carefully in all finger fractures and does not accept deformity that will compromise function.
Treatment
Buddy Taping & Splinting
Stable, non-displaced fractures are treated with buddy taping and a short course of protected mobilization. Early motion is preferred over prolonged immobilization to prevent stiffness.
Surgical Fixation
Displaced, unstable, intra-articular, or malrotated fractures require surgical fixation using percutaneous pins, screws, or plates depending on fracture pattern and location.