Abstract
Proximal interphalangeal joint fracture-dislocations are common injuries usually resulting from a direct axial force applied to the tip of the finger. This chapter will focus on describing the indications and the technique for dorsal extension block pinning. This technique is simple, inexpensive, and straightforward. It allows the soft tissue structures to heal, while the joint reduction is maintained in a congruent fashion and motion is permitted in the stable arc. This technique is ideal for the PIP joint injury in which a closed reduction can be obtained, but is unstable. It allows for the advantages of dorsal block splinting without the technical and compliance challenges of fitting a splint and maintaining it in place.
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References
Ng CY, Oliver CW. Fractures of the proximal interphalangeal joints of the fingers. J Bone Joint Surg Br. 2009;91(6):705–12. doi:10.1302/0301-620X.91B6.21953.
Badia A, Riano F, Ravikoff J, Khouri R, Gonzalez-Hernandez E, Orbay JL. Dynamic intradigital external fixation for proximal interphalangeal joint fracture dislocations. J Hand Surg Am. 2005;30(1):154–60. S0363-5023(04)00559-3 [pii].
Chinchalkar SJ, Gan BS. Management of proximal interphalangeal joint fractures and dislocations. J Hand Ther. 2003;16(2):117–28. S0894113003000255 [pii].
O’Rourke SK, Gaur S, Barton NJ. Long-term outcome of articular fractures of the phalanges: an eleven year follow up. J Hand Surg Br. 1989;14(2):183–93.
Vitale MA, White NJ, Strauch RJ. A percutaneous technique to treat unstable dorsal fracture-dislocations of the proximal interphalangeal joint. J Hand Surg Am. 2011;36(9):1453–9. doi:10.1016/j.jhsa.2011.06.022.
McElfresh EC, Dobyns JH, O’Brien ET. Management of fracture-dislocation of the proximal interphalangeal joints by extension-block splinting. J Bone Joint Surg Am. 1972;54(8):1705–11.
Sugawa I, Otani K, Kobayashi A. Treatment of fracture dislocation PIP-joint by kirschner wire extension block method. Cent Jpn J Orthop Traumat. 1979;22:1409–12.
Twyman RS, David HG. The doorstop procedure. A technique for treating unstable fracture dislocations of the proximal interphalangeal joint. J Hand Surg Br. 1993;18(6):714–5.
Viegas SF. Extension block pinning for proximal interphalangeal joint fracture dislocations: preliminary report of a new technique. J Hand Surg Am. 1992;17(5):896–901.
Waris E, Alanen V. Percutaneous, intramedullary fracture reduction and extension block pinning for dorsal proximal interphalangeal fracture-dislocations. J Hand Surg Am. 2010;35(12):2046–52. doi:10.1016/j.jhsa.2010.08.004.
Inoue G, Tamura Y. Treatment of fracture-dislocation of the proximal interphalangeal joint using extension-block kirschner wire. Ann Chir Main Memb Super. 1991;10(6):564–8.
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© 2016 Springer International Publishing Switzerland
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Gauger, E.J., Adams, J.E. (2016). Dorsal Block Pinning. In: Adams, J. (eds) PIP Joint Fracture Dislocations. Springer, Cham. https://doi.org/10.1007/978-3-319-28579-5_3
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DOI: https://doi.org/10.1007/978-3-319-28579-5_3
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