POINT

Research summary A Proximal Phalanx Shaft (PPS) fracture is a common type of bone break in the section of the finger closest to the knuckle. There are currently two ways of treating PPS finger fractures; surgery or non-surgical splinting. Both treatments are currently offered in standard practice, and generally give good results. We do not know which treatment is the best for patients.The aim of this study is to improve care by finding out which treatment provides a quicker more convenient recovery, has fewer complications and ensures better long term use of the hand. Adults will be approached and recruited in secondary care fracture clinics, and asked to complete questionnaires at 6 weeks, 6 months and 12 months after joining the study. Participants will also be asked to attend a trial clinic visit at 3 months where data will be collected and tests on had function will be performed (range of motion, grip and pinch strength). The primary outcome for the study will be comparison of a patient completed questionnaire - Patient Evaluation Measure(PEM)at 6 months, compared to the start of the study.

INCLUSION CRITERIA:

1. Patients with one or more proximal phalanx shaft finger fracture(s)

2. Age >16 years

3. Fracture(s) suitable for either surgery or non‐surgical splint treatment as assessed by the investigator

4. Willing and able to give fully informed consent