S62.631

Clinical Causes: Falling and landing on the hand with the finger extended Direct blow or trauma to the fingertip, such as during sports or accidents Crushing injuries involving the finger Crucial involvement of sudden torsion or twisting forces on the finger

Key Symptoms: Immediate pain at the site of the fracture Swelling and tenderness around the fingertip Deformity or abnormal angulation of the finger Limited ability to move or straighten the finger Bruising or discoloration of the fingertip Sensitivity to touch and sometimes a crepitus (a crackling sensation felt when touching the area)

Diagnosis Path: The diagnosis typically starts with a physical examination by a healthcare professional who will assess the finger's appearance, movement, and stability. To confirm the fracture and its displacement, imaging tests such as X-rays are conducted. X-ray images help visualize the exact location, type, and severity of the fracture, guiding further treatment decisions.

Treatment Protocols: Management of a displaced fracture of the distal phalanx generally involves restoring proper alignment of the bone fragments and ensuring proper healing. Treatment options include: - **Closed reduction:** A manual technique where the healthcare provider realigns the bone fragments without surgery. - **Immobilization:** Applying a splint or cast to keep the finger in the correct position during healing. - **Surgical intervention:** In cases where closed reduction isn’t successful, surgery may be necessary to realign the bones, sometimes involving pinning, plating, or wiring. - **Pain management:** Use of ice, elevation, and over-the-counter medications may help reduce pain and swelling. - **Rehabilitation:** After healing, physical therapy or specific exercises might be recommended to restore range of motion and strength.