Management of proximal phalangeal fractures can prove difficult, with a variety of
treatment choices. Nonoperative versus operative options are available and within
those categories there are further choices to be made. Traction orthotic devices utilize
ligamentotaxis in maintaining fracture and joint reduction, while allowing the fracture
to heal and concurrently avoiding surgery on the unforgiving proximal interphalangeal
joint and proximal phalanx.
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References
- Old principles revisited - traction splinting for closed proximal phalangeal fractures.Injury. 2002; 33: 235-237
- James traction splinting for PIP fractures.J Hand Ther. 2008; 21: 209-215
- Management of proximal phalangeal fractures of the hand using finger nail traction and a digital splint: A prospective study of 43 cases.Clin Orthop Surg. 2012; : 156-162
- Swing design dynamic traction splinting for the treatment of intra-articular fractures of the digits.J Hand Ther. 2006; 19: 39-42
- Lessons learned from the management of complex intra-articular fractures at the base of the middle phalanges of fingers.J Hand Surg (Br). 2003; 28: 559-565
- Dynamic traction and early passive movement for fractures of the proximal interphalangeal joint.J Hand Surg. 1986; 11A: 850-858
- The conservative management of fractures of the shafts of the phalanges of the fingers by combined traction-splintage.J Hand Surg (Br). 1984; 9: 303-306
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JHT Read for Credit
Quiz: # 916
Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
- # 1.Proper Fx reduction is determined by
- a.videography
- b.the CHT
- c.the surgeon
- d.x-ray
- a.
- # 2.The distal edge of the palmar platform
- a.is padded for comfort
- b.is 4 inches from its proximal edge
- c.rests at the distal palmar crease
- d.rests at the thenar eminence
- a.
- # 3.Ideally the MP is positioned in
- a.90° flexion
- b.60° flexion
- c.30° flexion
- d.neutral
- a.
- # 4.Traction is applied by pulling on the adhesive which is made of
- a.carbon dioxide
- b.zinc oxide
- c.athletic tape
- d.coban
- a.
- # 5.The orthosis is worn for 3 weeks
- a.false
- b.true
- a.
When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.
Article info
Publication history
Published online: February 24, 2021
Accepted:
February 19,
2021
Received:
January 21,
2021
Footnotes
Declaration of conflicting interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article
Funding: The author(s) received no financial support for the research, authorship, and/or publication of this article.
Ethical approval: Not applicable.
Informed consent declaration: Not applicable.
Identification
Copyright
© 2021 Published by Elsevier Inc.
