Release notes of Hand - Distal phalanges

The content has been revised by Matej Kastelec (SI) and Pavel Dráč (CZ) with Simon Lambert (UK) as executive editor.

The main differences to the first edition are:

• The names of fracture types and techniques have been adjusted
• In the multifragmentary tuft fractures, the K-wire fixation has been removed.
• In the simple shaft fracture, cannulated screw fixation has replaced K-wire fixation.
• Tension band fixation for dorsal avulsion fractures has been removed.
• K-wire fixation of palmar avulsion fractures has been removed

Pages on the following topics have been added:

• Patient assessment
• Complications and technical failures
• Patient positioning

Two approach videos have been added:

• Dorsal Approach to Distal Interphalangeal (DIP) Joint of the Finger
• Finger, Distal Interphalangeal Joint (DIP), Palmar Approach

The distal phalangeal material of the hand, second edition, includes a detailed description of the following injury types and their management.

Dislocation of the DIP joint:

• Nonoperative treatment (splint)
• Joint transfixation with K-wire

Dorsal avulsion injuries of the proximal end segment (mallet finger):

• Nonoperative treatment (splint)
• Joint transfixation with K-wire
• Extensor block pinning or K-wire fixation (with joint transfixation)
• Screw fixation

Palmar avulsion injuries of the proximal end segment:

• Nonoperative treatment (splint)
• Suture fixation
• Screw fixation

Simple fractures of the diaphysis and distal end segment:

• Nonoperative treatment (splint)
• Cannulated screw fixation

Multifragmentary fractures of the diaphysis and distal end segment:

• Nonoperative treatment (splint)

The following additional material is available for this module:

• Dorsal approach to the DIP joint
• Palmar approach to the DIP joint
• Supine patient position
• Assessment of distal phalangeal injuries of the hand
• Complications and technical failures in distal phalangeal injury management
• References on management of distal phalangeal injuries

The content has been created by Renato Fricker (CH), Matej Kastelec (SI), Fiesky Nuñez (VE), and Terry Axelrod (CA) with Chris Colton (UK) as executive editor.

The distal phalangeal material of the hand, first edition, included a detailed description of the following injury types and their management.

Dislocation:

• Nonoperative treatment
• K-wire fixation

Proximal, dorsal avulsion:

• Nonoperative treatment
• K-wire immobilization
• Lag screw fixation
• Tension-band wire
• K-wire fixation

Proximal, palmar avulsion:

• Nonoperative treatment
• K-wire fixation
• Suture fixation
• Lag screw fixation

Distal and shaft, transverse:

• Nonoperative treatment
• K-wire fixation

Distal and shaft, multifragmentary:

• Nonoperative treatment
• K-wire fixation