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Phalangeal Neck Fractures

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Book cover Pediatric Orthopedic Trauma Case Atlas

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Abstract

Phalangeal neck fractures are principally a pediatric problem and are often missed, which can lead to poor functional outcomes. Synonyms include subcapital, subcondylar, and supracondylar phalanx fractures. These fractures occur at the distal end of the proximal or middle phalanx, with the border digits most often affected. Radiographs must include at a minimum anteroposterior and lateral views, with the displacement more apparent on the lateral image. Phalangeal neck fractures most commonly displace with apex volar angulation and can often be malrotated as well. Very little remodeling potential exists and with the exception of the nondisplaced fractures (which themselves must be watched very closely), these injuries necessitate timely reduction and stabilization.

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References and Suggested Reading

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Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery, Nationwide Children’s Hospital, Columbus, OH, USA

    Julie Balch Samora

Authors
  1. Julie Balch Samora
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Correspondence to Julie Balch Samora .

Editor information

Editors and Affiliations

  1. Ohio State University, Nationwide Children’s Hospital Ohio State University, Columbus, Ohio, USA

    Christopher Iobst

  2. Department of Orthopedic Surgery, Nemours Children's Hospital, Orlando, Florida, USA

    Steven L. Frick

Section Editor information

  1. Department of Orthopedic Surgery, Nemours: Alfred I. duPont Hospital for Children, 1600 Rockland Rd., 19803, Wilmington, DE, USA

    Jennifer M. Ty MD

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Samora, J.B. (2018). Phalangeal Neck Fractures. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-28226-8_53-1

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  • DOI: https://doi.org/10.1007/978-3-319-28226-8_53-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28226-8

  • Online ISBN: 978-3-319-28226-8

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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