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Phalangeal Neck Fractures

  • Julie Balch Samora
Living reference work entry

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.

References and Suggested Reading

  1. Al-Qattan M (2001) Phalangeal neck fractures in children: classification and outcome in 66 cases. J Hand Surg Br 26:112–121CrossRefPubMedGoogle Scholar
  2. Al-Qattan MM (2010) Nonunion and avascular necrosis following phalangeal neck fractures in children. J Hand Surg Am 35(8):1269e–11274CrossRefGoogle Scholar
  3. Topouchian V, Fitoussi F, Jehanno P et al (2003) Treatment of phalangeal neck fractures in children: technical suggestions. Chir Main 22:299–304CrossRefPubMedGoogle Scholar
  4. Waters P, Taylor B, Kuo A (2004) Percutaneous reduction of incipient malunion of phalangeal neck fractures in children. J Hand Surg 29:707–711CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Orthopedic SurgeryNationwide Children’s HospitalColumbusUSA

Section editors and affiliations

  • Jennifer M. Ty
    • 1
  1. 1.Department of Orthopedic SurgeryNemours: Alfred I. duPont Hospital for ChildrenWilmingtonUSA

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