Hand-Phalanx Fracture-Dislocation (PIP Joint)

  • Laurent Obert
  • Margaux Delord
  • Gauthier Menu
  • Damien Feuvrier
  • Isabelle Pluvy
  • Francois Loisel
Chapter
First Online:

Abstract

In case of fracture dislocation of proximal interphalangeal joint (PIP), the indication for surgery is a non-concentric PIP joint. If a concentric reduction can be achieved (flexing the joint), a dorsal block splint in flexion for several weeks can be advised. External fixation devices are available to maintain reduction whilst allowing early motion. If over 40–50% of the joint surface is involved, open surgery is mandatory to restore the joint congruity. We will present the ORIF technique for recent fracture and joint dislocation.

This is a preview of subscription content, log in to check access.

References

  1. 1.
    Verma MK, Bradley J, Jebson PJ. The Ioban drape: a simple method to improve finger surgery safety and efficiency. Tech Hand Up Extrem Surg. 2012;16(4):202–3.CrossRefPubMedGoogle Scholar
  2. 2.
    De Haseth KB, Ring D. Management of finger fractures. In: Bhandari M, editor. Evidence-based orthopedics. Hoboken, NJ: Wiley-Blackwell; 2012. p. 987–92.Google Scholar
  3. 3.
    Oak N, Lawton JN. Intra articular fractures of the hand. Hand Clin. 2013;29:535–49.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Laurent Obert
    • 1
  • Margaux Delord
    • 1
  • Gauthier Menu
    • 1
  • Damien Feuvrier
    • 1
  • Isabelle Pluvy
    • 1
  • Francois Loisel
    • 1
  1. 1.Orthopedic, Traumatology, and Hand Surgery UnitUniversity Hospital CHRU Besancon, Medical School, University of Bourgogne - Franche Comte, Research Unit: Nano MedicineBesanconFrance

Personalised recommendations