Acute pain management
Open fractures require immediate IV antibiotics and urgent surgical washout
Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
Consider risk for compartment syndrome
Consider buddy taping the injured finger to an adjacent finger
If the ring finger is involved it should be buddy taped to the little finger
Dorsal or volar Finger Splint if desire added protection
If the ring finger is involved it should be buddy taped to the little finger
Dorsal or volar Finger Splint if desire added protection
Consider closed reduction
After reduction ensure that PIP joint is in extension, MCP is in flexion (to avoid contracture)
After reduction ensure that PIP joint is in extension, MCP is in flexion (to avoid contracture)
If requires ortho referral: Radial gutter splint or ulnar gutter splint
Proximal phalanx 
Non-thumb metacarpal fractures
Distal phalanx 
Head
Middle phalanx 
Neck
Finger 
Shaft