Proximal phalanx, metaphyseal (head), multifragmentary

Fractures of the distal metaphysis can be transverse, oblique, or comminuted.
Always confirm the fracture configuration with views in both planes.
Comminuted fractures are often unstable.
Irreducible and unstable fractures require ORIF.
Other indications for ORIF are open fractures, or soft-tissue lacerations.