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Metacarpal and phalangeal fractures 

Metacarpal and phalangeal fractures
Metacarpal and phalangeal fractures

T.R.C. Davis

and J.A. Oni

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date: 17 May 2022

Proximal phalanx unicondylar and spiral fractures most unstable

If axially stable can be considered for non-operative treatment

Kirschner wires offer stability without excessive soft tissue dissection

Ring and little finger metacarpal flexion deformity is well tolerated, but this is not the case for the radial metacarpals

Displaced proximal and middle phalanx fractures are a common cause of stiffness

Displaced condylar fractures are usually best reduced and fixed.

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