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The distal phalanx is divided into three anatomical parts One indication is the need for sensate, pliable volar thumb distal tip coverage for defects less than 2 cm in size. Proximally, the metaphysis (base), followed by the diaphysis (“shaft”), and finally the ungual tuberosity (“tuft”)
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The base of the distal phalanx has a prominent dorsal crest at the insertion of the extensor tendon. Follow up is with gp for most injuries, but hand surgery team if nailbed repair required. A volar plate injury happens when your finger joint is bent too far backwards (hyperextension)
This causes the ligament and cartilage tissue on the palm side of your joint (volar plate) to tear or become detached from the bone.
The base of the thumb distal phalanx has a dorsal and volar lip Ligaments that attach to the thumb distal phalanx include the volar plate of the ip joint, the radial collateral ligament of the ip joint and the ulnar collateral ligament of the ip joint. The mass had progressively enlarged over 18 years and significantly affected physical use of her thumb. Volar plate avulsion injuries are a type of avulsion injury
The volar plate helps maintain stability of the interphalangeal joint in the anteroposterior plane and prevents interphalangeal joint hyperextension We report a case of a right thumb post traumatic volar plate injury which was initially treated as a flexor pollicis longus (fpl) rupture. Phalanx dislocations are common traumatic injury of the hand involving the proximal interphalangeal joint (pip) or distal interphalangeal joint (dip) Diagnosis can be made clinically and are confirmed with orthogonal radiographs.
The flexor tendon inserts into the whole width of the base of the distal phalanx
Management consists mainly of treating any associated soft tissue or nailbed injury or tip avulsion Place in a neutral hand splint (see point 9) and start oral antibiotics for any open fractures
