Initial evaluation includes a medical history, physical examination, and x-rays
to assess the fracture for displacement. Examination should also assess pulses,
position and alignment of the fingers, skin condition, and sensation.
Treatment is based on the amount of stability and displacement of the fracture.
Often times the bones may be realigned by manipulation and casting. In these cases
x-rays should be done within a week to ensure stability and alignment. Typically
the case is worn for 3-6 weeks. Finger splints are typically worn for about 3 weeks.
For those with an unstable fracture or displacement outpatient surgical treatment
may be considered. Typically this involves placement pins, screws, or wire, to hold
the fractured bones together. Rehabilitation can begin once the fracture appears
healed.