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Distal Interphalangeal Joint Fractures of the Hand
Remy V Rabinovich1, Daniel B Polatsch, Steven Beldner
1From the Zucker School of Medicine at Hofstra/Northwell, New York Hand & Wrist Center of Lenox Hill, Northwell Health, New York, NY.
The Journal of the American Academy of Orthopaedic Surgeons
|December 19, 2025
Summary
Fingertip fractures, often involving the distal interphalangeal joint, require timely diagnosis and appropriate treatment for optimal outcomes. Treatment ranges from splinting to surgical fixation, focusing on joint stability and tendon integrity.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Hand Surgery
Background:
- Fingertip fractures are common hand injuries.
- The distal interphalangeal joint is frequently affected.
- Injuries range from simple to complex, requiring diverse treatments.
Purpose of the Study:
- To review the classification and management of fingertip fractures.
- To highlight factors influencing optimal patient outcomes.
- To emphasize the importance of accurate diagnosis and treatment initiation.
Main Methods:
- Classification of fractures based on fragment location (dorsal, volar, comminuted).
- Consideration of fracture type (closed/open) and associated injuries (instability, tendon disruption).
- Review of treatment options including splinting and surgical fixation.
Main Results:
- Anatomic reduction is desirable but not always essential for good outcomes.
- Timely diagnosis and appropriate treatment are crucial.
- Restoration of tendon integrity and joint concentricity are key goals.
Conclusions:
- Optimal outcomes in fingertip fractures depend on prompt diagnosis and tailored treatment.
- Management strategies should address fracture patterns, joint stability, and tendon function.
- Focus on functional recovery through appropriate intervention and rehabilitation.
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