[Fracture of the dorsal distal phalanx or the so-called bony extensor tendon avulsion].
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.
Lautenbach
M
M
Abteilung für Ellenbogen-, Hand- und Mikrochirurgie, Immanuel-Krankenhaus, Akademisches Lehrkrankenhaus, Freie Universität Berlin, Königstrasse 63, 14109, Berlin, Deutschland. m.lautenbach@immanuel.de
Zach
A
A
Ekkernkamp
A
A
Eisenschenk
A
A
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*
Chirurg. 1999 Jun;70(6):705-12
10427459
J Hand Surg Br. 1998 Dec;23(6):802-5
9888687
Unfallchirurgie. 1986 Jun;12(3):143-7
3750560
Handchir Mikrochir Plast Chir. 1999 Mar;31(2):82-7; discussion 87-9
10337551
J Hand Surg Br. 1988 Aug;13(3):350-2
3171314
Chirurg. 1991 May;62(5):418-22
1874046
Handchir Mikrochir Plast Chir. 2001 Jan;33(1):41-5
11258032
J Hand Surg Br. 1995 Oct;20(5):618-9
8543867
Handchir Mikrochir Plast Chir. 2008 Jun;40(3):145-8
18431716
Scand J Plast Reconstr Surg Hand Surg. 1993 Dec;27(4):317-9
8159947
J Bone Joint Surg Am. 1984 Jun;66(5):658-69
6725314