Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with pain, swelling, and restricted range of motion in the left index finger following acute trauma. Mechanism of injury: [Insert mechanism]. Patient denies numbness, tingling, or open wounds. No prior history of fracture in the affected digit.
Clinical Examination Findings
Left index finger: Significant edema and ecchymosis noted at the proximal phalanx. Tenderness to palpation localized to the proximal phalanx shaft. No rotational deformity. Neurovascular status: Distal capillary refill <2 seconds, sensation intact to light touch in the radial and ulnar digital nerves. No signs of open fracture or skin compromise.
Treatment Protocol
Closed reduction performed (if indicated). Immobilization via buddy taping to the middle finger and/or volar splinting in a position of safety (intrinsic plus). Analgesics prescribed for pain management. Referral to Hand Surgery for follow-up and repeat imaging in 7-10 days to assess stability.