Treatment of Volar Fracture on Fifth Digit PIP Joint

Assessment and Classification

• Evaluate fracture stability with radiographic evaluation including at least three projections to properly characterize the fracture, according to the American Academy of Orthopaedic Surgeons 1

Treatment Algorithm

For Stable Volar Fractures (without subluxation)

• Buddy taping with adjacent digit provides stability while allowing early active motion, resulting in excellent outcomes, as recommended by the American Academy of Orthopaedic Surgeons 2
• Dorsal night splinting in 10° flexion helps maintain proper alignment during healing, as suggested by the American Academy of Orthopaedic Surgeons 3

Rehabilitation Protocol

• Early active motion is critical to prevent stiffness, and should be started immediately following diagnosis and treatment, according to the American Academy of Orthopaedic Surgeons 2

Potential Complications

• Joint stiffness is the most common complication, minimized by early active motion, as noted by the American Academy of Orthopaedic Surgeons 2

Follow-up Recommendations

• Regular radiographic evaluation for the first 3 weeks and at cessation of immobilization is recommended, as suggested by the American Academy of Orthopaedic Surgeons 3