Acute pain management
Open fractures (excluding<unk> fractures) require immediate IV antibiotics and urgent surgical washout
Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
Nonoperative
Nondisplaced: Splint with the DIP joint in extension (splint should extend past the tip of the<unk> Most cases
Eval nail bed
Is a Nailbed laceration underneath possible?
Digital blocks can be helpful for evaluation and management
Do not attempt to reduce comminuted tuft fracture
Call Hand or Ortho (institution dependent) for complex finger injuries
Nailbed laceration with<unk> fractures can be complicated and result in an open fracture
Nondisplaced: Splint with the DIP joint in extension (splint should extend past the tip of the<unk> Most cases
Eval nail bed
Is a Nailbed laceration underneath possible?
Digital blocks can be helpful for evaluation and management
Do not attempt to reduce comminuted tuft fracture
Most cases
Is a Nailbed laceration underneath possible?
Nailbed laceration with<unk> fractures can be complicated and result in an open fracture
Controversial but in general, prophylactic antibiotics are indicated for grossly contaminated open wounds, and can be considered in high risk patients (ex. diabetics, peripheral artery disease). Otherwise, NOT indicated in open<unk> fracture (aka tuft fracture) as long as:
Fracture is at<unk> (i.e. tuft fracture)
Intact digital arteries
Clean wound
Distal phalanx 
Distal interphalangeal dislocation 
Proximal phalanx 
Middle phalanx 
Finger amputation
Finger 
Fingertip avulsion
Polar thigh