Improper reduction of fractures of the proximal phalanges of fingers

Abstract

1. 1. Position of function (or rest) is essential to maintain proper balance between antagonists and protagonists in the treatment of fractured proximal phalanges. 2. 2. Exacting alignment of fractured segments is essential to prevent tendons from being fixed in callous formation as the floor of the phalanx is, in effect, the seat of the tendon sheath and naturally provides the gliding mechanism for the tendon. 3. 3. A mere 15 degrees of dorsal angulation in a proximal phalanx fracture will be so accentuated or magnified as to prevent the finger tip from touching the palm of the hand. 4. 4. Exacting and correct primary treatment of these fractures will avoid secondary (corrective osteotomy) procedures, thereby greatly benefiting the injured employee in time, wages and in his mental outlook.