The hand is the segment most exposed to trauma, with a large volume of care in urgent and emergency services. Therefore, it is necessary that physicians on duty ave the essential knowledge to effectively manage these injuries. In the present article, we will review the main conditions and conduct guidelines.
| Phalanges | Most common trauma | Fracture pattern | Type of immobilization |
|---|---|---|---|
| Distal | Axial or compressive | Tophus (extremity); longitudinal; no angulation | "U" aluminum splint up to the proximal interphalangeal joint (⧐Figure 2) |
| Middle (diaphysis) | Torsional or direct | Rotational: 0°; coronal plane: < 5°; sagittal plane: < 10° | "U" aluminum splint up to the metacarpophalangeal joint |
| Proximal (diaphysis) | Torsional | Rotational: 0° coronal plane: < 5°; sagittal plane: < 10° | Volar aluminum splint, metacarpophalangeal joint in semi-flexion (⧐Figure 2) |
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