Epiphyseal Fracture Proximal Phalanx

Definition:
Fracture that involves the growth plate in the proximal finger bone

Symptoms
  • Pain in the finger
  • Swelling in the finger and hand
  • Loss of ROM in the finger
  • Physical deformity of finger in abduction
Causes
  • Common in children
  • Heavy object fall on hand
  • Heavy object roll on hand
  • Fall
Treatment
  • Period of immobilization
  • Progress to ROM and stretching exercises
  • Hand intrinsic muscle strengthening
Epiphyseal Fracture Proximal Phalanx Phase I

Purchase Phase

  • Finger Flexor Stretch
  • Finger Extensor Stretch
  • Finger Self Mobilization
  • Putty Scales
  • Blocking
  • Tendon Gliding

Epiphyseal Fracture Proximal Phalanx Phase II

Purchase Phase

  • Finger Extensor Strengthening Yoga
  • Finger Flexor Strengthening Yoga
  • Putty Pinching
  • Putty Gripping
  • Static Grasp
  • Putty Press

Epiphyseal Fracture Proximal Phalanx Phase III

Purchase Phase

  • Ulnar Radial Deviation
  • Rice Wrist Flexion And Extension
  • Wrist Curls
  • Rice Wrist Pronation Supination
  • Rice Hand Opening Closing
  • Eccentric Wrist Flexion
  • Eccentric Wrist Extension