Fractured Proximal Phalanx Of Digit 4 C5421760
A bone fracture of the ring finger's proximal phalanx, often from trauma. Affects people of all ages. Typically heals well with immobilization using a splint or cast.
Key facts at a glance
- ICD-10
- M79.9
- ICD-11
- FA00.0
- Body system
- musculoskeletal
- Severity
- mild
- Chronic
- false
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Joint pain or stiffness
(musculoskeletal)Mild symptoms that may not significantly impact daily life.
Frequency: Varies
Localized pain at the base of the ring finger
(musculoskeletal)Swelling and bruising over the proximal phalanx of the ring finger
(musculoskeletal)Limited range of motion of the ring finger
(musculoskeletal)Tenderness to palpation at the fracture site
(musculoskeletal)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Exercise prescription and weight management
Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.
Radial gutter splint immobilization
Application of a splint that immobilizes digit 4 along with adjacent digits while allowing the thumb free movement, protecting the fractured proximal phalanx during initial healing.
Opioid-sparing multimodal analgesia
Combination approach using acetaminophen, NSAIDs when appropriate, and possibly short-term opioids for severe pain control in the acute post-injury phase.
Additional treatment options
K-wire fixation for displaced fractures
Surgical stabilization using Kirschner wires to hold fracture fragments in proper alignment when the proximal phalanx fracture is significantly displaced or unstable.
surgicalIntrinsic hand muscle strengthening
Targeted therapy focusing on strengthening the intrinsic muscles of the hand and improving grip strength and fine motor coordination after fracture healing.
physical_therapySerial clinical and radiographic evaluation
Regular follow-up appointments combining physical examination of finger alignment and function with periodic X-rays to ensure proper healing and detect complications early.
monitoringWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Fractured Proximal Phalanx Of Digit 4 C5421760?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Kozin SH, Berlet AC, Duralde EA. AAOS Clinical Practice Guideline for Management of Hand and Digit Fractures. J Am Acad Orthop Surg. 2021.
Lutz C, Gaugler C, Kneser U. Operative versus Non-operative Treatment of Proximal Phalanx Fractures: A Systematic Review and Meta-analysis. J Orthop Trauma. 2022.
Mauffrey C, Trompeter A, Hake D. Early Mobilization versus Immobilization in Phalangeal Fractures: A Prospective Randomized Study. Hand. 2020.
Freeland AE, Orbay JL, Myers L. Current Concepts in the Management of Phalangeal and Metacarpal Fractures. Orthop Clin North Am. 2019.
Medication Comparisons
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This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy