Symptomatic Nonunion of a Distal Phalanx Fracture: Treatment With a Percutaneous Compression Screw

Fractures of the distal phalanx caused by crush injuries occur frequently but rarely result in nonunions. This article describes 2 patients with a symptomatic hypertrophic nonunion after a fracture of the waist of the distal phalanx of the thumb. Following the general principles of nonunion treatment, both patients were successfully treated with a single compression screw inserted by a minimally invasive approach. (J Hand Surg 2009;34A:1127-1129. (C) 2009 Published by Elsevier Inc. on behalf of the American Society for Surgery of the Hand.)