Dorsally angulated proximal phalanx fractures : Closed reduction and rigid fixation using a reversed extension splint.

Published online: Jun 27 2009

Nicola B. Vannet, Peter J. Kempshall, Jonathan P. Davies

From Royal Glamorgan Hospital, Llantrisant, South Wales, United Kingdom


Dorsally angulated proximal phalanx fractures have always presented a difficulty for treatment. A variety of options for treatment have been tried in the past, many of these are operative options and therefore carry the risks of a surgical procedure. We present a case of a conservatively managed proximal phalanx fracture using a reversed dynamic or static finger extension splint, such as Roylan® Sof-Stretch. The finger was immobilised using this splint and achieved bony union and very good function at both the metacarpophalangeal and proximal interphalangeal joints.