Finger (phalangeal) fracture on X‑ray: 14 real cases

Real, openly licensed radiographs showing finger (phalangeal) fracture. Study what to look for, then open each case and read it yourself before revealing the answer.

What to look for

  • A fracture line through a proximal, middle or distal phalanx.
  • Check whether it enters a joint and whether there is displacement or angulation.
  • Small avulsion fragments at the volar base of the middle phalanx suggest a volar plate injury; at the dorsal base of the distal phalanx, a bony mallet finger.

Learn: Hand fractures

Quiz yourself on upper limb images

Cases

Other upper limb diagnoses

Diagnoses come from each image's documented source. Credits and licences are shown on each case and on the image credits page.