Fractures of the distal phalanx

Fractures of the distal phalanx, except for those of the articular surface, are sustained in crushing injuries and as such require care for the surrounding soft tissues and rarely need specific treatment for the fracture itself. Displaced articular fractures on the palmar side, however, are associated with avulsion of the flexor digitorum profundus tendon and will need careful replacement by surgical means. While there is some disagreement among authorities, it is believed here that the dorsal articular fracture, the mallet fracture, can and should be treated by nonoperative means.