Many finger fractures can be managed nonsurgically. Patients with fractures that include angulation, comminution, and malrotation must be referred expeditiously to a hand surgeon, preferably within 1 week. Some fractures, such as condylar fractures, appear nondisplaced at first but have a high propensity to displace and, therefore, also should be referred to a subspecialist. The management of mallet fractures is controversial, with studies supporting surgical and nonsurgical options.
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