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20 Cards in this Set
- Front
- Back
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what is MOI for distal phalangeal fractures
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crush type of injury
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what usually accompanies distal phalangeal fractures
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nail trauma
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what must happen if nail traume accompanies distal phalange trauma
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nail must be removed and nail bed inspected
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treatment of rosenthal zone 1 injuries less than 1 cm of tissue loss
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close via secondary intent after proper cleasning and ambulate in surgical shoe
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treatment of rosenthal zone 1 injuries greater than 1 cm of tissue loss
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debridement splint thickness graft to non weight bearing surface or full thickness graft to WB surface
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treatment of rosenthal zone 2 injuries
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debridement, flap for coverage with or without nail ablation
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treatment of rosenthal zone 3 injuries
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debridement, usually distal phalax amputation and ablation of nail bed and matrix
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what is the most commonly fractured digit
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5th
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what are the options with displaced fragments in toe
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nothing
removal fixation if large enough |
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distal phalangeal fractures that heal with hypertrophy may require what
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revisional surgery to take off exostosis
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what might phalangeal base fractures predispose patient to
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floating toe and transverse plane deformities
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crush injuries of the digits are often associated with what other pathology
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subungual hematoma
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when should you remove the nail plate with a subungual hematoma
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if greater than 25% involvement
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comminuted tuft fractures
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immobilization and surgical shoe
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intraarticular condylar fracture of hallux
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NWB cast or ORIF depending on size
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What do you do if conservative therapy fails with hallux fracture
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consider surgical exicision of fragment
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conservative treatment for sesamoid fractures
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cast immobilization
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surgical management for sesamoid fractures
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excision
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non displaced lesser digital fractures
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buddy splint and wider toe box shoes
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what is required if digital fracture is displaced
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reduction
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