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Pediatric Phalangeal Neck and Condylar Fractures

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Pediatric and Adult Hand Fractures

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Abstract

Phalangeal fractures are the most common type of hand fracture present in the pediatric population. Phalangeal neck fractures are fractures distal to the collateral ligament recess of the proximal or middle phalanges. Phalangeal condyle fractures include lateral avulsion, unicondylar, bicondylar, and subcondylar shearing fractures with or without concomitant joint subluxation or dislocation. Pediatric phalangeal neck and condylar fractures may be managed nonoperatively or operatively depending on the degree of fracture displacement. Nondisplaced fractures are managed through immobilization with very close observation, whereas displaced fractures are typically treated with a closed reduction and percutaneous pinning. Complications of phalangeal neck and phalangeal condyle fractures include joint stiffness, osteoarthritis, avascular necrosis, and malunion.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA

    Logan Kolakowski, Catherine C. May & Joshua M. Abzug

Authors
  1. Logan Kolakowski
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  2. Catherine C. May
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  3. Joshua M. Abzug
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Corresponding author

Correspondence to Joshua M. Abzug .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA

    Joshua M. Abzug

  2. Atrium Health Carolinas Medical Center, Charlotte, NC, USA

    R. Glenn Gaston

  3. Philadelphia Hand to Shoulder Center, Thomas Jefferson University Hospital, Philadelphia, PA, USA

    A. Lee Osterman

  4. Rothman Orthopaedic Institute Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, PA, USA

    Richard J. Tosti

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Disclaimer: The views expressed in the submitted article are our own and not an official position of the institution.

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Kolakowski, L., May, C.C., Abzug, J.M. (2023). Pediatric Phalangeal Neck and Condylar 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_5

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  • DOI: https://doi.org/10.1007/978-3-031-32072-9_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-32071-2

  • Online ISBN: 978-3-031-32072-9

  • eBook Packages: MedicineMedicine (R0)

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