Hand-Phalanx Fracture-Dislocation (PIP Joint)
- 1.1k Downloads
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.
- 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