Pearls

  • Ensure there is no malrotation. Fractures with rotation will require surgery.

Degree of acceptable angulation:

  1. Index/Middle: 10-15°
  2. Ring: 30-40°
  3. Small: 50-60°

Reduction: Flex MCP joints to 90° and lever the extended fingers over your hand to create axial force through proximal phalanx.

Complications

Malrotation