For a fracture of the 4th phalanx with 5 degrees of angulation, what is the recommended treatment approach?

• A. Full splint immobilization
• B. Buddy taping the 4th phalanx to the 3rd phalanx
• C. Immediate surgical intervention
• D. Custom orthotic design

Answer: (B)

For a fracture of the 4th phalanx with only 5 degrees of angulation, buddy taping the fractured phalanx to the adjacent 3rd phalanx is a recommended treatment approach. This method is effective in providing stability to the fracture site while allowing for functional use of the hand. The slight angulation is typically manageable with this conservative technique, which promotes alignment and aids in the healing process without the need for more invasive measures.

Buddy taping takes advantage of the structural support provided by the adjacent, uninjured phalanx, effectively limiting movement and providing a natural splinting effect. This approach can also allow the patient to maintain some level of activity without significant discomfort or risk of further injury.

In comparison, full splint immobilization or custom orthotic design may be more appropriate for fractures with more significant displacement or angulation, while immediate surgical intervention is reserved for severely displaced or unstable fractures that cannot be managed conservatively. Therefore, buddy taping is the most appropriate approach given the nature of this specific fracture.