From the Guidelines
Treatment for an avulsion fracture of the finger should prioritize conservative management with immobilization when fracture fragments are small, nonarticular, or minimally displaced, as this approach is supported by the principles outlined in the American College of Foot and Ankle Surgeons' guidelines 1. When considering the management of avulsion fractures of the finger, it's crucial to assess the size and displacement of the fracture fragments.
- For minor avulsion fractures with small, nonarticular, or minimally displaced fragments, simple immobilization is appropriate, allowing for proper healing without the need for surgical intervention.
- The immobilization period typically lasts for 3-6 weeks, during which time the patient should also focus on rest, ice application, elevation of the hand, and management of pain with over-the-counter medications like acetaminophen or ibuprofen.
- In cases where the avulsion fracture is more severe, with large or displaced bone fragments, surgical intervention may be necessary to ensure proper alignment and healing of the bone.
- Following the immobilization period, whether after conservative or surgical treatment, physical therapy plays a critical role in restoring the range of motion and strength of the affected finger, with exercises such as finger bending, putty squeezing, and progressive resistance training.
- It is essential to seek medical attention promptly after the injury to ensure proper diagnosis through radiographic studies and to initiate appropriate treatment, thereby preventing potential complications such as chronic pain, stiffness, and decreased function in the affected finger, as highlighted in the context of heel pain diagnosis and treatment 1.
From the Research
Avulsion Fracture of Finger Treatment
- The treatment of avulsion fractures of the finger can vary depending on the severity of the injury and the presence of any complications 2.
- Immobilization of the distal interphalangeal joint in extension using splints is a common treatment approach for mallet finger injuries, which can include avulsion fractures 2.
- The type and duration of splint use may vary, with no consensus on the most effective approach 2.
- Surgical fixation may be indicated in certain cases, such as open injuries, avulsion fractures involving a significant portion of the articular surface, or failed splinting treatment 2.
- Conservative treatment of finger fractures, including avulsion fractures, can be effective in many cases, with immobilization of the fracture to prevent rotational malposition or significant shortening of the finger 3.
- Open fractures, including avulsion fractures with open wounds, may require antibiotic prophylaxis to prevent infection, with cephalosporins being a commonly recommended class of antibiotics 4, 5, 6.