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Phalanx Fractures: Achieving Best Outcomes

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1.  If a patient sustained a stable oblique proximal phalanx fracture to their index finger and was treated conservatively, which orthosis would they receive? Hand Based Ulnar Gutter including all digits MP at 50 and IP at neutral Hand Based Volar Orthosis including index and middle MP at 50 and PIP at 30 degrees of flexion Hand Based Radial Gutter including index and middle MP at 0 and PIP at 70 degrees of flexion Hand Based Radial Gutter including index and middle MP at 50 and IP's at neutral

2.  If a patient sustained an unstable pilon fracture of P2 with multiple small fragments the most likely initially treatment would be: Forearm Based Cast for 6 weeks External Fixator Buddy taping Screw Fixation

3.  Which type of P3 fracture needs to be immobilized continuously in extension for 6- 8 weeks for proper healing? Jersey Finger Tuft Fracture Mallet Finger Boutonniere

4.  _______________ fractures have the greatest tendon to bone interface therefore are at greater risk for adhesions. Distal Phalanx Middle Phalanx Proximal Phalanx Metacarpal Head

5.  Which type of surgical intervention provides the greatest stability but has the greatest periosteal stripping? Plate and Screws Screws External Fixator K Wire Fixation

6.  Which type of treatment for a proximal phalanx fracture has a greater risk for infection? Cast Immobilization K-Wire Fixation Plates and Screws Screw Fixation

7.  If a patient presents with a lack of an active full composite fist and when tightness is assessed you note that PIP flexion is greater with MP flexion than with MP extension. What might you expect is the source of limited active composite fist? Oblique Retinacular Ligament Tightness PIP Joint Contracture Long Extensor Tightness Intrinsic Tightness

8.  If a patient is one week out from plate and screw fixation of their P2 Fracture what would an appropriate exercise be? Tendon Gliding Intrinsic Stretching Grade 3 Joint Mobilization Sustained Grasp tasks

9.  What motion would you limit initially in the presence of a P2 avulsion fracture associated with an unstable dorsal dislocation? MP Flexion MP Extension PIP Flexion PIP Extension

10.  If a patient presents with an extension lag at their PIP in early phases of fracture healing with a P1 FX, what exercise would be most beneficial in regards to resolving the lag? Flexion glove Sustained grasp Reverse blocking DIP blocking