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Management of Tendon and Bony Injuries of the Distal Phalanx
Janice C Y Liao1, Soumen Das De2
1Department of Orthopaedic Surgery, Ng Teng Fong General Hospital, Singapore; Department of Hand and Reconstructive Microsurgery, National University Hospital, Singapore.
Abstract:
Acute tendon and bony injuries of the distal phalanx are challenging injuries because they may result in chronic pain, hypersensitivity, stiffness, and deformity if they are not adequately treated. Flexor tendon avulsions require early surgical repair. Conversely, most extensor tendon injuries and fractures heal well with nonoperative treatment. However, surgery is indicated in selected patients, and meticulous technique is required to achieve good postoperative outcomes. In this article, we outline the pertinent clinical anatomy of the distal phalanx, review the current literature regarding treatment options, and highlight key management points to ensure good clinical outcomes while minimizing complications.
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