Film 21 Fracture at base of distal phalanx of right middle finger at point of insertion of extensor tendon. Film 22 Normal CXR with bifid 4th left rib. Film 23 Salter–Harris type 2 fracture of base of proximal phalanx of right little finger. The fracture line extends from the metaphysis into the physeal plate. Film 24 Left infra-orbital floor fracture with fluid level (haemorrhage) in left maxillary sinus. Film 25 Fracture of medial aspect of distal portion of right middle phalanx. Film 26 Right upper lobe consolidation. Film 27 Avulsion fracture of base of 5th left metatarsal.

2008 ◽  
pp. 247-247
Keyword(s):  
Proximal Phalanx ◽  
Extensor Tendon ◽  
Middle Finger ◽  
Distal Portion ◽  
Distal Phalanx ◽  
Middle Phalanx ◽  
Orbital Floor Fracture ◽  
Salter Harris ◽  
Left Maxillary Sinus

Fractures of the Phalanges of the Hand in Children

HAND ◽  
1979 ◽  
Vol os-11 (2) ◽  
pp. 134-143 ◽  
Author(s):  
N. J. Barton
Keyword(s):  
Sagittal Plane ◽  
Proximal Phalanx ◽  
Distal Phalanx ◽  
Middle Phalanx ◽  
Longitudinal Splitting ◽  
Epiphyseal Fractures ◽  
Comminuted Fractures

Fractures of the phalanges of the hand were studied in 203 children. Fingertip fractures caused disability for three weeks but usually had good results. Comminuted fractures often took the form of longitudinal splitting. Epiphyseal fractures were mostly of the Salter type 2 and metaphyseal types and usually had good results: remodelling occurred in both planes at the base of the proximal phalanx but only in the sagittal plane at the base of the middle phalanx. Epiphyseal fractures at the base of the distal phalanx often had unsatisfactory results. Fractures of the neck of phalanx showed no remodelling at all and if deformity is not corrected it is probably permanent.

scholarly journals Analysis of Hot-Cold Confusion on Fingers

2021 ◽  
Vol 33 (5) ◽  
pp. 1117-1127
Author(s):  
Satoshi Hashiguchi ◽  
Keyword(s):  
Thermal Properties ◽  
Proximal Phalanx ◽  
Mutual Effect ◽  
Distal Phalanx ◽  
Experimental Results ◽  
Middle Phalanx ◽  
Temperature Sensation ◽  
Temperature Stimulus

The thermosensory system may misidentify a temperature stimulus with different thermal properties. The mechanism of this hot-cold confusion has not been clarified; hence, it has not yet been applied. In this study, we created a wearable temperature presentation device that is closer to the application and analyzed the tendency and mechanism of temperature confusion by analyzing the hot-cold confusion of temperature sensation in the fingers, which are most frequently in contact with objects. Two experiments were performed. In the first experiment, we presented stimuli on the tips of three fingers (first, second, and third fingers). In the second experiment, we presented stimuli at the center of the distal phalanx, middle phalanx, and proximal phalanx of the first finger. The experimental results indicated the occurrence of hot-cold confusion. Domination, in which the center is dominated by both ends, and a mutual effect, in which the center interacts with both ends, were observed.

Salter-Harris Type 2 Fracture of the Proximal Phalanx of the Thumb With a Rotational Deformity

2012 ◽  
Vol 28 (3) ◽  
pp. 288-291 ◽  
Author(s):  
Ali Izadpanah ◽  
Mihiran Karunanayake ◽  
Arash Izadpanah ◽  
Hani Sinno ◽  
Mario Luc
Keyword(s):  
Proximal Phalanx ◽  
Rotational Deformity ◽  
Salter Harris

Modified “On-Top-Plasty” Technique for Restoring Length to Amputation Stumps

2002 ◽  
Vol 27 (3) ◽  
pp. 265-269 ◽  
Author(s):  
V. PISTRE ◽  
P. PELISSIER ◽  
A. BALLANGER ◽  
D. MARTIN ◽  
J. BAUDET
Keyword(s):  
Proximal Phalanx ◽  
Ring Finger ◽  
Middle Finger ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Middle Phalanx ◽  
Secondary Procedure ◽  
Amputation Stumps ◽  
Amputation Stump ◽  
Middle Ring

Five patients were successfully treated with a modified “on-top-plasty” technique, in which a finger stump is lengthened by transfer of an adjacent amputation stump with a reverse blood flow fingerstump. This technique can be performed in the acute phase or as a secondary procedure. A conventional on-top-plasty can be performed by transfer of a partially amputated index or ring finger to the “top” of the proximal phalanx of an amputated middle finger. Alternatively, the transferred part may be used in an intercalated fashion to reconstruct the middle phalanx, using a prosthesis to reconstruct the proximal interphalangeal joint. The results, complications and disadvantages of the technique are reported. We propose this procedure for the reconstruction of the middle ring finger when a free microneurovascular toe-to-hand transfer is contraindicated or refused by the patient.

Corrective Step-cut Osteotomy at the Affected Bone for Correction of Rotational Deformity Due to Fracture of the Middle Phalanx

2017 ◽  
Vol 22 (02) ◽  
pp. 240-243 ◽  
Author(s):  
Hiroyuki Fujioka ◽  
Yohei Takagi ◽  
Juichi Tanaka ◽  
Shinichi Yoshiya
Keyword(s):  
Present Report ◽  
Proximal Phalanx ◽  
Ring Finger ◽  
Distal Portion ◽  
Middle Phalanx ◽  
Distal Interphalangeal Joint ◽  
Metacarpal Bones ◽  
Distal Interphalangeal ◽  
Displaced Fracture ◽  
Functional Problems

Malunion at the shaft of the middle phalanx yields less functional problems compared with malunion at the shaft of the proximal phalanx and metacarpal bones. In the present report, the patient sustained a minimally displaced fracture at the distal portion of the distal middle phalanx of the ring finger spraining the finger during playing flag football. Fracture was treated conservatively and fracture union was completed. However, the patient complained of functional problems in activities of daily living due to the malrotational deformity of the finger. We treated the malrotational deformity close to the distal interphalangeal joint of the middle phalanx with step-cut osteotomy at the affected bone successfully.

The anatomy and function of Cleland’s ligaments

2013 ◽  
Vol 39 (5) ◽  
pp. 482-490 ◽  
Author(s):  
R. L. Zwanenburg ◽  
P. M. N. Werker ◽  
D. A. McGrouther
Keyword(s):  
Proximal Phalanx ◽  
Extensor Tendon ◽  
Tendon Sheath ◽  
Lateral Side ◽  
Middle Phalanx ◽  
John Cleland ◽  
Pip Joint ◽  
Fresh Frozen ◽  
The Individual ◽  
And Function

The cutaneous ligaments of the digits have been recognized by anatomists for several centuries, but the best known description is that of John Cleland. Subsequent varying descriptions of their morphology have resulted in the surgical community having an imprecise view of their structure and dynamic function. We micro-dissected 24 fresh frozen fingers to analyze the individual components of Cleland’s ligamentous system. Arising from the proximal interphalangeal (PIP) joint, proximal, and sometimes middle phalanx, we found strong ligaments that ran proximally (PIP-P) and distally (PIP-D). On each side of each finger there was a PIP-P ligament present, which passed obliquely from the lateral side of the proximal and sometimes middle phalanx towards its insertion into the skin at the level of the proximal phalanx. The distal (PIP-D) ligaments were found to pass obliquely distally on the radial and ulnar aspects of the digit towards cutaneous insertions around the middle phalanx. A similar arrangement exists more distally with fibres originating from the DIP joint and middle phalanx (the DIP-P pass obliquely proximally, and the DIP-D, distally). Each individual PIP ligament consisted of three different layers originating from fibres overlying the flexor tendon sheath, periosteum or joint capsule, and extensor expansion. Ligaments arising at the DIP joint had two layers equivalent to the anterior two layers of the proximal ligaments. Cleland’s ligaments act as skin anchors maintaining the skin in a fixed relationship to the underlying skeleton during motion and functional tasks. They also prevent the skin from ‘bagging’, protect the neurovascular bundle, and create a gliding path for the lateral slips of the extensor tendon.

Distribution of Human Pacinian Corpuscles in the Hand

1998 ◽  
Vol 23 (3) ◽  
pp. 370-372 ◽  
Author(s):  
B. STARK ◽  
T. CARLSTEDT ◽  
R. G. HALLIN ◽  
M. RISLING
Keyword(s):  
Proximal Phalanx ◽  
Distal Phalanx ◽  
Middle Phalanx ◽  
Pacinian Corpuscles ◽  
Metacarpophalangeal Joints ◽  
Fresh Cadaver ◽  
Palmar Skin

The subcutaneous distribution and number of Pacinian corpuscles were studied in ten fresh cadaver hands. They were found to cluster close to nerves and vessels at the metacarpophalangeal joints and the proximal phalanx. The total mean number in the hand was 300 (192–424). The percentage of the total was 44 to 60% in the fingers, 23 to 48% in the metacarpophalangeal area and 8 to 18% in the thenar and hypothenar regions. Corpuscles in palmar skin overlying the distal phalanx were smaller than receptors in the metacarpophalangeal area. The lowest density of corpuscles was along the nerves and vessels of the middle phalanx.

scholarly journals Macro-anatomy of the bones of the forelimb of Black Bengal goat (Capra hircus)

1970 ◽  
Vol 6 (1) ◽  
pp. 59-66 ◽  
Author(s):  
MSI Siddiqui ◽  
MZI Khan ◽  
S Moonmoon ◽  
MN Islam ◽  
MR Jahan
Keyword(s):  
Key Words ◽  
Proximal Phalanx ◽  
Coracoid Process ◽  
Distal Phalanx ◽  
Capra Hircus ◽  
Glenoid Cavity ◽  
Middle Phalanx ◽  
Total Length ◽  
Ruminant Animals ◽  
Black Bengal Goat

In the present study, five Black Bengal goats (Capra hircus) were used to investigate the bones of fore limb during January to June 2006. It was observed topographically that the scapula was more or less similar to other ruminant animal topographically with exception that, the presence of very short coracoid process, more or less oval shaped glenoid cavity and more extensive subscapular fossa. The humerus of adult Black Bengal goat was 12.06 ± 0.27cm in length. The diameter of shaft at the level of nutrient foramen was 4.24 ± 0.05 cm. The breadth of humerus was 1.66 ± 0.06 cm. The deltoid tuberosity was less prominent and there was shallow radial and olecranon fossa. The radius of adult Black Bengal goat was 11.12 ± 0.23 cm in length. The diameter of shaft of radius-ulna just below the interosseous space was 3.86 ± 0.12cm. The total length of ulna of adult Black Bengal goat was 14.20 ± 0.20 cm. The interosseous space was found very narrow in the present study. Six carpal bones arranged in two rows, four in proximally and two in distally were found in Black Bengal goat. Two fully developed digits were found in Black Bengal goat. Each digit had three phalanges. The total length of proximal phalanx of adult Black Bengal goat was 2.88 ± 0.08 cm, in the middle phalanx it was 1.88 ± 0.03 cm and in distal phalanx the length was2.56 ± 0.05 cm. In conclusion the present data suggest that, the anatomy of the bones of fore limbs of Black Bengal goat was differed slightly, both structurally and morphometrically with other ruminants and varied widely with non-ruminant animals. Key Words: Macro-anatomy, fore limb, skeleton, black bengal goat DOI = 10.3329/bjvm.v6i1.1340 Bangl. J. Vet. Med. (2008). 6(1): 59-66

Rotational Salter–Harris Type I Fracture of the Proximal Phalanx

1998 ◽  
Vol 23 (6) ◽  
pp. 806-807 ◽  
Author(s):  
S. E. BLAGG ◽  
G. E. B. GIDDINS
Keyword(s):  
Clinical Examination ◽  
Proximal Phalanx ◽  
Middle Finger ◽  
Type I ◽  
Diagnostic Problems ◽  
Salter Harris

A purely rotational Salter-Harris type I fracture of the proximal phalanx of the middle finger is described. This injury presents diagnostic problems as the radiographs do not show the displacement. Accurate clinical examination is essential, in particular checking for rotation of the finger.

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