Phalangeal neck fractures are uncommon in children. When these injurie
s to the proximal and middle phalanges are displaced and not treated o
peratively the fracture may heal in a malunited position with loss of
motion at the IP joint. Remodelling in the area of the phalangeal neck
is thought to be reduced because of its distance from the physis. In
cases of malunion osteotomy of the phalangeal neck may be required to
restore anatomy and motion. A case is described which demonstrates com
plete remodelling of a displaced middle phalangeal neck fracture in a
child and recovery of a normal range of motion without operative inter
vention.