title: [Fracture of the dorsal distal phalanx or the so-called bony extensor tendon avulsion].
abstract: Fractures of the distal phalanx are common. According to the histological results of Hoch et al., the term bony extensor tendon avulsion is not correct; instead, the description fracture of the dorsal distal phalanx should be used. Many therapeutic options for these fractures are described in the literature. Decision-making for operative treatment should not only be based on X-rays.Good functional results are mentioned in the literature after conservative treatment of larger bony fragments. The mid- and long-term results of remodelled joints that are mostly not in anatomically correct positions can only be determined in prospective studies. Indications for operative treatment are dorsal distal phalanx fractures with a distal finger joint subluxation or in cases of widely rotational malposition of the bony fragment. The osteosynthesis has to respect the extensor aponeurosis.
authors.affiliation: Abteilung für Ellenbogen-, Hand- und Mikrochirurgie, Immanuel-Krankenhaus, Akademisches Lehrkrankenhaus, Freie Universität Berlin, Königstrasse 63, 14109, Berlin, Deutschland. m.lautenbach@immanuel.de
authors.forename: M
authors.initials: M
authors.lastname: Lautenbach
authors.forename: A
authors.initials: A
authors.lastname: Zach
authors.forename: A
authors.initials: A
authors.lastname: Ekkernkamp
authors.forename: A
authors.initials: A
authors.lastname: Eisenschenk
mesh_terms: D001864:Bone Wires; D005260:Female; D005383:Finger Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography; D013165:Splints; D013708:Tendon Injuries / Q000000981:diagnostic imaging / Q000601:surgery*
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