Abstract
This chapter will highlight the issues related to diaphyseal fractures of the phalanges in the adult skeleton. The structural anatomy, kinesiology, and overlying soft tissues will be highlighted as they relate to bony fracture. Fracture patterns, stability, reduction techniques, and parameters associated with outcomes regarding both proximal and middle phalangeal injuries will form the basis of decision making regarding appropriate treatment methods. Closed reduction and immobilization when appropriate will become clear as well as the options of percutaneous and open methods of reduction and stabilization. The indications and techniques for Kirschner wire fixation will be highlighted as well as open reduction and screw or plate fixation and external fixation are described. Adverse outcomes are highlighted.
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Jupiter, J.B. (2023). Adult Phalangeal Shaft Fractures. In: Abzug, J.M., Gaston, R.G., Osterman, A.L., Tosti, R.J. (eds) Pediatric and Adult Hand Fractures. Springer, Cham. https://doi.org/10.1007/978-3-031-32072-9_16
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DOI: https://doi.org/10.1007/978-3-031-32072-9_16
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