5th proximal phalanx fracture

Case contributed by Dr Dai Roberts

Presentation

Fall 'pushing shopping trolley'. ?fracture

Patient Data

Age: 25 years
X-ray

Likely minimally displaced intra-articular fracture of the 5th proximal phalanx base and proximal metaphysis.

Case Discussion

Fractures should be described according to the bone(s) involved, the location within the bone, if intra-articular or displaced, and if fragmented/comminuted.  Some fractures will have eponymous names, such as a fracture of the 5th metacarpal neck: a Boxers fracture. Whilst many clinicians will use such names in referrals and requests, the radiology report should ideally include a description of the fracture to avoid miscommunication. 

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