Extra-Octave Fractures

Living reference work entry

Latest version View entry history



A 9-year-old female presents with an “extra-octave” fracture – a closed left small finger fracture of the proximal phalanx. The fracture is immediately adjacent to the physis with apex radial and volar displacement. At her initial orthopedic evaluation, she undergoes a reduction maneuver consisting of flexion and adduction under a digital nerve block. She is subsequently placed into an intrinsic plus short arm cast. The fracture heals uneventfully and immobilization is discontinued at 3 weeks.

References and Suggested Readings

  1. Al-Qattan MM (2002) Juxta-epiphyseal fractures of the base of the proximal phalanx of the fingers in children and adolescents. J Hand Surg Br 27(1):24–30CrossRefGoogle Scholar
  2. Al-Qattan MM, Al-zahrani K, Al-boukai AA (2008) The relative incidence of fractures at the base of the proximal phalanx of the fingers in children. J Hand Surg Eur Vol 33(4):465–468CrossRefGoogle Scholar
  3. Cornwall R, Ricchetti ET (2006) Pediatric phalanx fractures: unique challenges and pitfalls. Clin Orthop Relat Res 445:146–156PubMedGoogle Scholar
  4. Leclercq C, Korn W (2000) Articular fractures of the fingers in children. Hand Clin 16(4):523–534, vii. ReviewPubMedGoogle Scholar
  5. Mahabir RC, Kazemi AR, Cannon WG, Courtemanche DJ (2001) Pediatric hand fractures: a review. Pediatr Emerg Care 17(3):153–156CrossRefGoogle Scholar
  6. Nellans KW, Chung KC (2013) Pediatric hand fractures. Hand Clin 29(4):569–578CrossRefGoogle Scholar

Authors and Affiliations

  1. 1.Department of Orthopedic SurgerySeton Hall/St. Joseph’s Regional Medical CenterPatersonUSA
  2. 2.Department of Orthopedic SurgeryNemours: Alfred I. duPont Hospital for ChildrenWilmingtonUSA

Section editors and affiliations

  • Jennifer M. Ty
    • 1
  1. 1.Department of Orthopedic Surgery OrthopedicsAlfred I. duPont Hospital for ChildrenWilmingtonUSA

Personalised recommendations