tuft fracture classification

Thumb fractures: • Bennett’s: Avulsion fracture of the first metacarpal base. An unopposed APL displaces the metacarpal shaft dorsally and radially. Base fractures were defined, in patients with open physes, as closed juxta-epiphyseal fractures without angulation. Open fractures of the distal phalanx require thorough cleansing, debridement, and inspection for foreign bodies. Tuft fractures of the distal phalanx are generally stable. • Classification • Shaft fracture –may be transvers or longitudinal • Tuft fracture (often associated with nail bed fracture –open fracture) • Dorsal base (Mallet Finger) • Volar base (Type III Jersey Finger) • Salter-Harris. 1 article features images from this case. • Tuft: This is the most common DIP fracture, and nail bed injury is possible. Note the relative lack of bimodal age distribution previously described (From Chew 2012) The most common phalanx fractures involve the border digits, namely, the index and small finger rays (Fig. Fractures of the Distal Phalanx Classification • Shaft fracture – Transverse fracture – Longitudinal • Tuft fracture (associated with nail bed fracture and open fracture) • Dorsal Base (Mallet finger) • Volar base ( Type III Jersey finger) • Salter-Harris 6. This classification is called the Allen Classification, and is used for sharp amputations that are fairly straight across the finger. • Salter-Harris 7. A tuft fracture of the finger is when a part of the bone is crushed. Orthopedic assistance is not required for uncomplicated closures. Doubts ; Related Radiopaedia articles. It is known as an open fracture because it is towards the top of the finger and is surrounded by … Fractures of the distal phalanx are the most common and most often affect the thumb and the middle finger. Schneider distinguishes between fractures of the tuft, the diaphysis and the base. Distal phalanx fracture; 1 public playlist include this case. • Rolando’s: Comminuted intra-articular fracture of the first metacarpal base. The distal phalanx is the most common location for a non-physeal injury which typically involves a… No single pediatric phalangeal fracture classification is in widespread use today. Tuft fractures that are associated with a simple nail bed or pulp laceration, can be managed in the ED. In skeletally mature patients, the base fractures were nondisplaced, non-angulated fractures of the phalangeal base. 2). It is usually caused by something hitting part of the finger at a strong impact, such as the head of a hammer. Tuft fractures may progress to nonunion but are usually asymptomatic. Grade II, III and IV injuries require nail removal, debridement of nail bed and repair of the nailbed followed by nail replacement +/- K wire fixation for distal phalanx fracture. However, not all fractures behave in a similar manner, and fractures should be individually considered on the basis of the patient’s age, fracture location, involvement of the physis, and local soft tissue anatomy. The wound require’s thorough irrigation, the laceration sutured using a figure-of-eight suture with 4-0 or 5-0 nylon, the suturing of the laceration also provides some stability to the fracture and allows healing to occur. They do not require operative management and are treated with immobilization. The diagnosis is strictly by PA and lateral x-rays. 10/10/18 2 FINGER FRACTURE –INITIAL MANAGEMENT Grade I injuries can be treated non-operatively or decompression or nail removal if the condition is very painful. The tuft fracture group had isolated bony injury to the tuft. The classification breaks down when the cut is very oblique, for instance, removing all of the fingertip pad but none of the nailbed. 1 Distribution of hand fractures by age. 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