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Phalanx fractures are common hand injuries that involve the proximal, middle or distal phalanx In most instances, volar plate rupture occurs distally, at the weaker fusion with the middle phalanx, whereas the proximal stronger checkrein ligaments rarely rupture. Diagnosis can be confirmed with orthogonal radiographs of the involve digit
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Treatment involves immobilization or surgical fixation depending on location, severity and alignment of injury. Volar plate injury occurs more commonly in younger patients, particularly those involved in hand/contact sports The base of the thumb distal phalanx has a dorsal and volar lip
Ligaments that attach to the thumb distal phalanx include the volar plate of the ip joint, the radial collateral ligament of the ip joint and the ulnar collateral ligament of the ip joint.
Volar plate avulsion injuries are a type of avulsion injury The volar plate helps maintain stability of the interphalangeal joint in the anteroposterior plane and prevents interphalangeal joint hyperextension We report a case of a right thumb post traumatic volar plate injury which was initially treated as a flexor pollicis longus (fpl) rupture. A volar plate injury happens when your finger joint is bent too far backwards (hyperextension)
This causes the ligament and cartilage tissue on the palm side of your joint (volar plate) to tear or become detached from the bone. The mass had progressively enlarged over 18 years and significantly affected physical use of her thumb. The flexor tendon inserts into the whole width of the base of the distal phalanx Management consists mainly of treating any associated soft tissue or nailbed injury or tip avulsion
Place in a neutral hand splint (see point 9) and start oral antibiotics for any open fractures
Follow up is with gp for most injuries, but hand surgery team if nailbed repair required. The volar plate is a thick ligament that connects two bones in the finger A volar plate injury is commonly called a jammed finger or sprain This happens when the finger is bent backward too far (hyperextended)
These injuries can also lead to a fracture (break) called an avulsion fracture.
