Middle phalanx fracture with impaction

Posterior-anterior radiograph reveals significant impaction of the ulnar plateau at the articular base of the middle phalanx. Note the irregular contour and loss of joint space at the distal interphalangeal joint.

Reproduced with permission from: Strickland JW, Graham TJ. Master Techniques in Orthopeadic Surgery: The Hand, 2nd Edition. Philadelphia: Lippincott Williams & Wilkins, 2005. Copyright © 2005 Lippincott Williams & Wilkins.

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