case_images: PMC11823848_01
case_images: X-rays show an unstable middle phalanx fracture of the left 4th digit.
case_images: JOCR-15-146-g001.jpg
case_images: PMC11823848_01_JOCR-15-146-g001.jpg
case_images: F1
case_images: A 19-year-old patient who came to our department after a crush injury from a car's door was diagnosed with an open middle phalanx displaced fracture in the left 4th digit (Fig. 1).
case_images: X-rays and fluoroscopic images demonstrating Kirschner wires stabilizing the middle phalanx fracture.
case_images: JOCR-15-146-g002.jpg
case_images: PMC11823848_01_JOCR-15-146-g002.jpg
case_images: F2
case_images: The procedure included irrigation debridement and fixation with Kirschner wires (Fig. 2).
case_images: Fluoroscopic images demonstrate double crossing intramedullary screws stabilizing the middle phalanx.
case_images: JOCR-15-146-g003.jpg
case_images: PMC11823848_01_JOCR-15-146-g003.jpg
case_images: F3
case_images: The two K-wires were introduced in a way that will allow the insertion of twin self-drilling screws that will not meet in the sagittal plane (Fig. 3).
case_images: X-rays demonstrate healing and union of the middle phalanx fracture.
case_images: JOCR-15-146-g004.jpg
case_images: PMC11823848_01_JOCR-15-146-g004.jpg
case_images: F4
case_images: The fracture healed with the osseous union (Fig. 4).
case_images: Clinical image shows the full grip of the hand in the outpatient clinic. A proximal interphalangeal joint of the 4th digit has a full range of motion.
case_images: JOCR-15-146-g005.jpg
case_images: PMC11823848_01_JOCR-15-146-g005.jpg
case_images: F5
case_images: Clinically the patient had a full range of motion with a symmetric power grip (Fig. 5).