Abstract
A healthy 42-year-old male presented to our clinic 10 weeks after sustaining an unstable PIP fracture-dislocation of his nondominant small finger. Radiographs revealed an impaction fracture along the volar base of P2 with persistent dorsal subluxation of the PIP joint. The patient’s primary complaint was pain at the affected joint. He expressed a strong desire for treatment options that would minimize recovery time and need for future surgery, as his occupation as a tree surgeon required a quick return to work. The patient was treated with a primary arthrodesis of his left small finger PIP joint, as this offered a predictable and stable digit, pain relief, and a relatively quick return to work all while minimizing the potential for additional surgery in the future.
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Suggested Readings
Leibovic SJ. Arthrodesis of the interphalangeal joints with headless compression screws. J Hand Surg Am. 2007;32:1113–9. doi:10.1016/j.jhsa.2007.06.010.
Leibovic SJ, Strickland JW. Arthrodesis of the proximal interphalangeal joint of the finger: comparison of the use of the Herbert screw with other fixation methods. J Hand Surg Am. 1994;19:181–8. doi:10.1016/0363-5023(94)90002-7.
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Jacoby, S.M., Gaspar, M.P. (2016). PIP Fusion. In: Adams, J. (eds) PIP Joint Fracture Dislocations. Springer, Cham. https://doi.org/10.1007/978-3-319-28579-5_13
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DOI: https://doi.org/10.1007/978-3-319-28579-5_13
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