The fracture is generally well seen on plain radiographs, angulation of these fractures is best seen on the lateral projection 2.Ultrasonography can be used for fractures that are difficult to see or when there are doubts. 10; Clinical Presentation Photos and Related Diagrams . Thumb proximal phalanx fractures most commonly occur secondary to sports in younger patients, secondary to labor in middle-aged patients, and secondary to falls and motor vehicle accidents in older individuals. Proximal phalanx fractures are some of the most common fractures in the body, occurring more frequently than those of the middle phalanx but less frequently than those of the distal phalanx. Epidemiology. 9; The estimated annual incidence of skier’s thumb in the U.S. is ~200,000. Proximal phalanx fractures are the most common pediatric hand fracture 1.. Radiographic features. 16 Fractures at the Base of the Proximal Phalanx Lars S. Vadstrup Abstract Treatment of base fractures in the proximal phalanx depends on the fracture type, the degree of displacement, and whether fracture reduction is stable or not. In this chapter, intervention options are reviewed focusing on restoration of finger function and to a lesser extent…
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