title: Dorsally angulated proximal phalanx fractures: closed reduction and rigid fixation using a reversed extension splint.
abstract: Dorsally angulated proximal phalanx fractures have always presented a difficulty for treatment. A variety of options for treatment have been tried in the past, many of these are operative options and therefore carry the risks of a surgical procedure. We present a case of a conservatively managed proximal phalanx fracture using a reversed dynamic or static finger extension splint, such as Roylan Sof-Stretch. The finger was immobilised using this splint and achieved bony union and very good function at both the metacarpophalangeal and proximal interphalangeal joints.
authors.affiliation: Royal Glamorgan Hospital, Llantrisant, South Wales, United Kingdom. n_vannet@yahoo.co.uk
authors.forename: Nicola B
authors.initials: NB
authors.lastname: Vannet
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Kempshall
authors.forename: Jonathan P
authors.initials: JP
authors.lastname: Davies
mesh_terms: D000328:Adult; D005383:Finger Injuries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D005384:Finger Joint / Q000503:physiopathology; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008297:Male; D008662:Metacarpophalangeal Joint / Q000503:physiopathology; D011859:Radiography; D016059:Range of Motion, Articular; D020127:Recovery of Function; D013165:Splints