A 12-year old boy sustained a volarly displaced fracture of the middle phalanx after sustaining a hyperextension injury to the fifth finger. The alignment of the proximal interphalangeal (PIP) joint was maintained and the articular surface of the displaced epiphysis faced the proximal phalangeal head. This is different from case reported elsewhere, which described volarly displaced epiphyseal fractures during the reduction of a volar PIP dislocation. This means that the pathomechanism in the present case is different from the previously reported cases. The closed reduction was successful and the hand function of the patient was satisfactory at the 6 month follow-up.
A 12-year old boy sustained a volarly displaced fracture of the middle phalanx after sustaining a hyperextension injury to the fifth finger. The alignment of the proximal interphalangeal (PIP) joint was maintained and the articular surface of the displaced epiphysis faced the proximal phalangeal head. This is different from case reported elsewhere, which described volarly displaced epiphyseal fractures during the reduction of a volar PIP dislocation. This means that the pathomechanism in the present case is different from the previously reported cases. The closed reduction was successful and the hand function of the patient was satisfactory at the 6 month follow-up.
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