Matej Kastelec, Pavel Dráč
Wedge and multifragmentary fractures of the shaft and tuft are classified by the AO/OTA as 78.2–5.3.2B/C, where 2–5 indicates the finger involved.
In multifragmentary fractures, the comminution may be limited to the tuft or extend into the diaphysis.
Shaft fractures may be wedge or comminuted.
Fractures of the distal phalanx are the most common fractures in the hand.
Most of these fractures result from direct impact or crush injuries with associated soft-tissue (nail bed or pulp) lacerations. Most frequently, there is a comminuted tuft fracture.
Common complications of these injuries are:
Schneider divides distal phalangeal fractures into tuft, shaft, and articular fractures.
Tuft fractures include
Shaft fractures include
Articular fractures include
AP and lateral view x-rays should be taken.