Dorsally angulated proximal phalanx fractures: closed reduction and rigid fixation using a reversed extension splint

Dorsally angulated proximal phalanx fractures have always presented a difficulty for treatment. A variety of options for treatment have been tried in the past, many of these are operative options and therefore carry the risks of a surgical procedure. We present a case of a conservatively managed proximal phalanx fracture using a reversed dynamic or static finger extension splint, such as Roylan Sof-Stretch. The finger was immobilised using this splint and achieved bony union and very good function at both the metacarpophalangeal and proximal interphalangeal joints.