Examine the finger cascade and nail alignment with active flexion.
This page explains how a stable proximal phalanx fracture is commonly managed, in plain language, based on Dr. Kee's typical approach to this injury.
Every fracture is different. Treatment varies based on the exact fracture pattern, displacement, age, whether surgery is needed, bone quality, other injuries, and how an individual heals. This page is general education, not your personal treatment plan — always follow the specific instructions given to you by Dr. Kee's office.
Examine the finger cascade and nail alignment with active flexion.
Rotation is less tolerated than modest angulation.
This fracture is generally treated without surgery. Instead, it is protected in a cast, splint, or brace so the bone can heal in a good position on its own.
Buddy tape or radial/ulnar gutter splint based on digit and fracture stability, usually about 3 weeks.
No heavy lifting or forceful gripping until clinical healing.
For a full explanation of what these weight-bearing terms mean, see our Weight-Bearing Guide.
Begin early protected motion once stability is confirmed, often within the first 1–2 weeks.
Hand therapy if stiffness, edema, or tendon adhesion develops.
Alignment check in about 1 week; additional follow-up based on stability.
Every fracture moves through the same general phases, though the exact timing is different for every patient:
Work or School: Desk/school early; heavy work after union and functional grip return.
Sports or High-Risk Activity: Often 6–8 weeks or later depending on sport and tenderness.
Any rotational deformity, open fracture, unstable pattern, intra-articular displacement, tendon injury, or neurovascular deficit.
See our full When to Call page for the difference between routine office contact and emergency evaluation.
Buddy tape or radial/ulnar gutter splint based on digit and fracture stability, usually about 3 weeks.
Your surgeon will guide when it's safe to return to these activities based on how your specific fracture is healing. Follow the instructions given specifically to you.
Every fracture heals differently. If you have questions about your treatment plan, reach out to Dr. Kee's office.