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Musculoskeletal3 papers

Closed fracture subluxation digit

Last edited: 4/10/2026

Overview

Closed fracture subluxation of a digit refers to an injury where a bone in the finger or toe breaks and the joint dislocates or partially dislocates without the skin being broken 1. This condition can affect the stability and function of the digit.

Diagnosis

  • Diagnosis is typically made through clinical examination and radiographic imaging 1.
  • Radiographs are essential to identify the fracture and assess the degree of subluxation 1.

    • Management

  • Treatment options may include closed reduction and immobilization 1.
  • Surgical intervention, such as arthroplasty via intermediate phalangectomy, may be considered in specific cases, like the hammered digit syndrome 1.

    • Special Populations

  • No specific information regarding special populations (pregnancy, pediatrics, elderly, comorbidities) was found in the provided abstracts.

    • Key Recommendations

  • Surgical intervention, specifically intermediate phalangectomy (partial or complete), is an alternative to proximal phalanx head resection for addressing the hammered digit syndrome 1. (Evidence: Expert opinion)
  • Arthroplasty via intermediate phalangectomy can be used in several clinical settings for digit injuries 1. (Evidence: Expert opinion)
  • Contraindications and potential complications associated with intermediate phalangectomy should be considered 1. (Evidence: Expert opinion)

    • References

    1 Jenkin WM. Arthroplasty via intermediate phalangectomy. Partial or complete. Clinics in podiatric medicine and surgery 1986. link

    Original source

    1. [1]
      Arthroplasty via intermediate phalangectomy. Partial or complete. — Jenkin WM Clinics in podiatric medicine and surgery (1986)
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