The finger is divided into three sections: proximal, middle and distal. The treatment varies depending on the location of the fracture. In patients with traumatic hand injury, X-ray should be routinely performed to understand the presence of fracture and to confirm the alignment of the fracture. For proximal closed fractures, manipulation and external fixation may be the treatment of choice. However, the treatment time is long, the fracture is not very stable and there is a possibility of re-displacement, therefore, most patients and health care professionals nowadays choose surgery.
Surgical treatment is relatively more expensive, but it enables early functional exercise. It is conducive to functional recovery. For proximal phalangeal fractures, surgical fixation can be performed with plates, steel pins and screws. For middle phalangeal fractures, the treatment is basically the same as for proximal phalangeal fractures, but the use of steel plates is relatively rare. Most end-joint fractures are fixed with steel pins. For closed phalangeal fractures, if they are comminuted or well aligned, they can be treated conservatively by fixation for a period of time. Of course, each specific fracture has to be treated individually depending on the injury and the understanding of the health care provider.