The conservative management of proximal phalangeal fractures of the hand in an accident and emergency department.

147 proximal phalangeal fractures of the hand were managed by Accident and Emergency doctors and hand surgeons. Most were treated conservatively with good results. Those treated in A. and E. were usually transverse or basal fractures of the shaft. Articular, oblique, comminuted and compound injuries were associated with greater morbidity and required specialist care.