Acute pain management
Open fractures require immediate IV antibiotics and urgent surgical washout
Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
Consider risk for compartment syndrome
Buddy tape to adjacent finger
Buddy tape ring finger to little finger
Dorsal or volar Finger Splint if desire added protection
Buddy tape ring finger to little finger
Closed reduction
Adequate reduction:
<1-2mm displacement or shortening
Up to 10 degrees of angulation
No amount rotation
Followed by Ulnar Gutter Splint or Radial Gutter Splint
Wrist in 20-30 degrees of extension
MCP joints in 70-90 degrees of flexion
PIP and DIP joints flexed 5-10 degrees
Decreases the force exerted by the FDS
Adequate reduction:
<1-2mm displacement or shortening
Up to 10 degrees of angulation
No amount rotation
Followed by Ulnar Gutter Splint or Radial Gutter Splint
Wrist in 20-30 degrees of extension
MCP joints in 70-90 degrees of flexion
PIP and DIP joints flexed 5-10 degrees
Decreases the force exerted by the FDS
<1-2mm displacement or shortening
Up to 10 degrees of angulation
No amount rotation
Wrist in 20-30 degrees of extension
MCP joints in 70-90 degrees of flexion
PIP and DIP joints flexed 5-10 degrees
Decreases the force exerted by the FDS
Decreases the force exerted by the FDS
Middle phalanx 
Non-thumb metacarpal fractures
Proximal phalanx 
Head
Distal phalanx 
Neck
Finger 
Shaft