751 results match your criteria Dislocation Interphalangeal


A Rare and Unique Complication of Pins and Rubbers Traction System (Suzuki frame) while Managing Simple PIPJ Fracture-dislocation.

J Orthop Case Rep 2021 Jun;11(6):89-92

Department of Orthopaedic Surgery, Jupiter Hospital, Thane, Maharashtra, India.

Introduction: The management of acute proximal interphalangeal (PIP) joint fracture-dislocation by dynamic external fixator is widely practiced method. The complications such as pin loosening or non-union or stiffness are known and can be treated well. The over distraction causing vascular compromise and calcification of volar plate jeopardizing the function and viability of the affected digit is not reported so far. Read More

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Mid-term Outcomes of Treatment of Fracture Dislocation of the Proximal Interphalangeal Joint with Gexfinger-A New Dynamic External Fixator.

J Hand Surg Asian Pac Vol 2022 Apr 31;27(2):359-365. Epub 2022 Mar 31.

Hand Unit, Orthopaedic Department, Geneva University Hospital, Rue Gabrielle-Perret Gentil 4, 1211 Geneva, Switzerland.

Fracture dislocations of the proximal interphalangeal joint (PIPJ) are challenging injuries and a dynamic external fixator frame is often used. We devised a dynamic external fixator device called the Gexfinger that allows greater control of the degree of traction. The aim of this study is to report the mid-term outcomes of this device. Read More

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Surgical Treatment of Camptodactyly with Malek Cutaneous Approach and Stepwise Release: A Retrospective Multi-centre Study.

J Hand Surg Asian Pac Vol 2022 Apr 31;27(2):233-241. Epub 2022 Mar 31.

Hand Surgery and Microsurgery Department, Azienda Ospedaliero Universitaria di Modena, Italy.

Clinical manifestations of camptodactyly are varied and no official consensus on the etiopathogenesis or best treatment is available. Conservative treatment is generally preferred and, in refractory patients, surgery might be considered. However, reported results of surgery are often unsatisfactory and it is difficult to compare outcomes as different classification systems are adopted. Read More

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Novel FGF9 variant contributes to multiple synostoses syndrome 3.

Am J Med Genet A 2022 Mar 22. Epub 2022 Mar 22.

Division of Medical Genetics, Department of Pediatrics, Queen's University, Kingston, Ontario, Canada.

Multiple synostoses syndromes (SYNS) are autosomal dominant syndromes characterized by multiple joint fusions commonly involving the carpal-tarsal, interphalangeal, humeroradial, and cervical spine joints. They display genetic heterogeneity with pathogenic variants reported in four separate genes (NOG, GDF5, FGF9, and GDF6) defining four different SYNS forms. FGF9 variants have been reported in SYNS3, a SYNS with multiple synostoses, normal cognition, normal hearing, and craniosynostosis. Read More

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Bruck syndrome in 13 new patients: Identification of five novel FKBP10 and PLOD2 variants and further expansion of the phenotypic spectrum.

Am J Med Genet A 2022 Jun 12;188(6):1815-1825. Epub 2022 Mar 12.

Clinical Genetics Department, Human Genetics and Genome Research Institute, National Research Centre, Cairo, Egypt.

Bruck Syndrome (BS) is a very rare disorder characterized by osteogenesis imperfecta (OI) associated with congenital contractures and is caused by mutations in FKBP10 or PLOD2 genes. Herein, we describe 13 patients from 9 unrelated Egyptian families with BS. All patients had white sclerae, recurrent fractures, kyphoscoliosis and osteoporosis with variable degrees of severity. Read More

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Comparison of 3 Dynamic External Fixation Devices for Proximal Interphalangeal Joint Dorsal Fracture-Dislocations in a Cadaver Model.

J Hand Surg Am 2022 Mar 4. Epub 2022 Mar 4.

Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD. Electronic address:

Purpose: Several improvised dynamic external fixation devices are used for treating unstable dorsal proximal interphalangeal (PIP) joint fracture-dislocations. We compared the effectiveness of 3 constructs for simulated dorsal PIP joint fracture-dislocations in a cadaver model.

Methods: We tested 30 digits from 10 fresh-frozen, thawed cadaver hands. Read More

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Hamate vs. capitate grafting for proximal interphalangeal joint fracture-dislocation: an MRI-based study of 35 hands.

J Hand Surg Eur Vol 2022 Feb 20:17531934221081293. Epub 2022 Feb 20.

Orthopaedic Department, Tauranga Hospital, Tauranga, New Zealand.

We examined the MRI scans of 35 adult hands to assess the feasibility of the hamate and the capitate as potential donor grafts in the management of comminuted intra-articular fractures at the base of the middle phalanges. Essentially neither the hamate nor the capitate were perfect anatomic matches in most digits, but the capitate had the advantage of having more uniform facets, and the capitate facet shapes were similar to those of the little finger. The measurement of angles in the coronal and sagittal plane showed that in some respects the differences between the potential graft and the base of the middle phalanges were smaller for the capitate than for the hamate. Read More

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February 2022

Treatment of Fracture-Dislocations of Proximal Interphalangeal Joint by Applying of Dynamic Mini External Fixator: Clinical and Radiographic Results.

Arch Bone Jt Surg 2021 Nov;9(6):695-701

Department of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

Background: Fracture-dislocations of the proximal interphalangeal joint of fingers are believed to be challenging injuries that usually lead to residual pain and stiffness. To date, several treatment options have been applied. Dynamic traction-external fixation is a safe and easy technique offering good results in many works of literature. Read More

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November 2021

Spectacular Accidental Distraction Arthroplasty in Dupuytren Contracture with Good Outcome: A Case Report.

JBJS Case Connect 2022 01 20;12(1). Epub 2022 Jan 20.

Orthopaedic Department-Hand Unit, Leuven University Hospitals, Leuven, Belgium.

Case: An exceptional event occurred during gradual extension with an external fixator for recurrent small finger Dupuytren flexion deformity. A massive proximal interphalangeal joint distraction arose, possibly because of the center of rotation misalignment and a hasty patient-controlled correction. The device was removed, and a plaster splint protected the finger for 5 days to prevent dislocation of the unstable joint. Read More

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January 2022

Comparison of extension block pinning technique versus pin orthosis-extension block pinning technique for acute mallet fractures: a prospective randomized clinical trial.

Arch Orthop Trauma Surg 2022 Jun 18;142(6):1301-1308. Epub 2022 Jan 18.

Haseki Education Research Hospital, Ugur Mumcu Mahallesi, Belediye Sokak, No: 7 Sultangazi, Istanbul, Turkey.

Introduction: The extension block pinning technique (EBPT) is a popular surgical treatment for mallet fractures; however, it has several drawbacks. The purpose of this randomized clinical trial was to compare EBPT to the pin orthosis-extension block pinning method (PO-EBPT) in the treatment of mallet fractures involving more than one-third of the joint surface but without primary joint dislocation.

Materials And Methods: Sixty-five patients with mallet fractures were randomized into two groups between June 2017 and January 2020: Group I (33 patients) was treated with EBPT and group II (32 patients) was treated with PO-EBPT. Read More

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Osteochondral Autograft From the Hamate for Treating Partial Defect of the Proximal Interphalangeal Joint.

J Hand Surg Am 2022 Jan 10. Epub 2022 Jan 10.

Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, China; Key Laboratory of Hand Reconstruction, Ministry of Health, Shanghai, China; Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, China. Electronic address:

Purpose: The management of a proximal interphalangeal (PIP) joint fracture dislocation becomes more challenging when the joint surface is damaged because of severe comminution or inadequate treatment in the acute phase. The purpose of this study was to evaluate the clinical outcomes of an osteochondral autograft for the reconstruction of the joint surface in patients with a partial PIP joint defect.

Methods: Twelve patients underwent osteochondral autograft surgery from May 2007 to July 2018. Read More

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January 2022

Extension-Block Pinning for Unstable Dorsal Proximal Interphalangeal Joint Fracture-Dislocations: A Simple, Percutaneous Technique With Reproducible Outcomes.

Hand (N Y) 2022 Jan 7:15589447211066352. Epub 2022 Jan 7.

Boston Medical Center, MA, USA.

Background: Proximal interphalangeal (PIP) joint fracture-dislocations can be technically challenging injuries to treat, and no technique has proven to be superior nor lead to predictably good outcomes. We describe our experience of treating unstable dorsal fracture-dislocations of the PIP joint with extension-block pinning (EBP) at our institution over a 22-year period.

Methods: In all, 23 patients with 24 unstable dorsal fracture-dislocations of the PIP joint treated with EBP between January 1998 and October 2020 were identified. Read More

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January 2022

Pyrocarbon Arthroplasty Implants in the Upper Extremity: A Systematic Review of Outcomes and Pooled Analysis of Complications.

Plast Reconstr Surg 2021 Dec;148(6):946e-958e

From the Faculty of Medicine, McGill University; and Division of Plastic and Reconstructive Surgery, Department of Surgery, McGill University Health Centre.

Background: Growing use of pyrocarbon implants in upper extremity arthroplasty has culminated in a breadth of literature ascertaining outcomes and complications at long-term follow-up. However, at present, the literature remains devoid of studies synthesizing the available evidence for upper extremity surgeons to adequately assess the safety and utility of these implants relative to other available options.

Methods: A systematic search of the National Library of Medicine, MEDLINE, and Embase databases was performed to determine clinical outcomes and complication and reoperation rates following pyrocarbon arthroplasties in the upper extremity. Read More

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December 2021

Volar plating versus external fixation for unstable dorsal fracture-dislocations of the proximal interphalangeal joint.

J Hand Surg Eur Vol 2022 03 23;47(3):308-313. Epub 2021 Nov 23.

Department of Hand Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

We retrospectively compared the results of volar plating and dynamic external fixation for acute unstable dorsal fracture-dislocations of the proximal interphalangeal joint with a depressed fragment. We treated 31 patients (31 fingers), 12 with volar buttress plating and 19 with dynamic external fixation. Follow-up averaged 35 and 40 months in the two groups, with a minimal 6-month follow-up. Read More

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Management of Highly Comminuted Intra-articular Fracture Subluxations at the Proximal Interphalangeal Joint by Subchondral Buttress Fixation and Early Mobilization.

Tech Hand Up Extrem Surg 2021 Mar 22;25(4):258-263. Epub 2021 Mar 22.

Department of Hand Surgery/Gen. Surgery, Kleinert Kutz Hand Care Center, Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY.

This article describes our technique of managing highly comminuted intra-articular fracture subluxations at the proximal interphalangeal joint by subchondral buttress fixation followed by early mobilization. This technique has proven to be reliable and all patients have been able to return to their preinjury level of activity. Read More

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Diagnosis, imaging, and potential morbidities of the hallux interphalangeal joint os interphalangeus.

Skeletal Radiol 2022 Jun 26;51(6):1143-1151. Epub 2021 Oct 26.

Department of Radiology, Temple University Hospital, Philadelphia, PA, USA.

Hallux pain is a common entity with a differential diagnoses including hallux valgus, hallux limitus/rigidus, and gout and specifically at the interphalangeal joint (IPJ), flexor hallucis longus (FHL) tenosynovitis, and joint arthrosis. An under-recognized source of pain is the os interphalangeus, an ossicle typically located at the plantar aspect of the hallucal interphalangeal joint. This ossicle is radiographically visible in its ossified form in 2-13% of individuals, but can also be present as an ossified or non-ossified nodule in patients. Read More

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The Syringe External Fixator: Short- and Medium-Term Functional Outcomes From This Inexpensive and Customizable Treatment for Comminuted Intra-Articular Fractures of the Hand.

J Hand Surg Am 2021 Oct 1. Epub 2021 Oct 1.

The Curtis National Hand Center, MedStar Union Memorial Hospital Baltimore, MD. Electronic address:

Purpose: Comminuted intra-articular fractures and fracture dislocations of the metacarpophalangeal (MCP) and interphalangeal joints are challenging. Dynamic external fixation, permitting early joint motion while still minimizing forces across the healing joint, can result in acceptable postoperative active range of motion (AROM). However, some fractures are not initially stable enough for early dynamic motion; further, many available dynamic external fixation systems are costly and cumbersome. Read More

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October 2021

Blast Injury to the Hand: Assessing the Injury Pattern and Functional Outcome of the Thumb.

Plast Reconstr Surg Glob Open 2021 Sep 22;9(9):e3767. Epub 2021 Sep 22.

Department of Plastic Surgery, Medical College of Wisconsin, Wauwatosa, Wis.

Background: In the United States, approximately 30% of about 10,000 annual blast injuries involve the hand, causing a broad spectrum of injury severity. The first web space is typically most severely affected. As the carpometacarpal (CMC) joint is critical to the unique function of the thumb, we evaluated typical patterns of injury to this joint, subsequent salvageability and functional outcomes of the thumb. Read More

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September 2021

Factors Associated with Reoperation after Pyrocarbon Proximal Interphalangeal Joint Arthroplasty for the Arthritic Joint: A Retrospective Cohort Study.

J Hand Microsurg 2021 Jul 9;13(3):132-137. Epub 2020 Apr 9.

Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States.

 The rate of reoperation after pyrocarbon proximal interphalangeal (PIP) joint arthroplasty ranges from 5.9 to 37% and complications such as radiographic loosening, deformity, dislocation, and stiffness are common. Because of the limited amount of knowledge around these problems, we evaluated factors associated with reoperation after pyrocarbon PIP arthroplasty. Read More

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Blocking Plate for Volar Proximal Interphalangeal Joint Fracture Dislocation.

J Hand Surg Am 2021 Sep 17. Epub 2021 Sep 17.

Orthopedic Department, Ain Shams University, Cairo, Egypt. Electronic address:

Purpose: To assess the use of a 2-mm miniplate as a dorsal blocking plate to stabilize the central avulsion fragment in a proximal interphalangeal joint (PIP) volar fracture dislocation.

Methods: This was a case series comprising 8 patients with volar fracture dislocation of the PIP joint. The average age of the patients was 36 years. Read More

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September 2021

Practice Patterns of Athletic Trainers Regarding the On-Site Management of Patients With Joint Dislocations.

J Athl Train 2021 Sep;56(9):980-992

Department of Exercise Sciences, Brigham Young University, Provo, UT.

Context: As part of clinical practice, athletic trainers (ATs) provide immediate management of patients with acute joint dislocations. Management techniques may include on-site closed joint reduction of the dislocated joint. Although joint reduction is part of the 2020 educational standards, currently practicing ATs may have various levels of exposure, knowledge, and skills. Read More

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September 2021

[Long fingers proximal interphalangeal joint trauma].

Rev Med Suisse 2021 Sep;17(750):1576-1581

Unité de chirurgie de la main, Département d'orthopédie et de traumatologie, HUG, 1211 Genève 14.

Sprains and dislocations of the proximal interphalangeal joint (PIP) are very common but are, nevertheless, often missed. They require an appropriate treatment to prevent stiffness and deformities. Initial assessment should include anteroposterior and true lateral radiographs. Read More

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September 2021

A Variant of Dorsally Displaced Epiphyseal Dislocation of the Middle Phalanx: A Case Report.

JBJS Case Connect 2021 09 3;11(3). Epub 2021 Sep 3.

Kusum Superspeciality Orthopaedic Centre, Sakinaka, Andheri, Mumbai.

Case: Closed injury of the proximal interphalangeal joint (PIPJ), where the dorsally displaced epiphysis is lying on the dorsum of PIPJ, is sometimes called a jockeyed epiphyseal fracture (radiographs give an impression jockey sitting on a horse). We describe its variation in a 7-year-old boy who had a dorsally displaced epiphyseal fracture of the middle phalanx accompanied by fracture of the proximal phalanx. He was treated with open reduction and relocation of the epiphysis. Read More

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September 2021

Acute Bony Injuries of Hand and Wrist.

Semin Musculoskelet Radiol 2021 Apr 9;25(2):277-293. Epub 2021 Aug 9.

Department of Radiology, Antwerp University Hospital, Edegem, Belgium.

Acute bony injuries to the hand and wrist are very common after a fall on an outstretched hand. In the wrist, distal radius fractures are the most common; isolated distal ulna fractures are uncommon. More serious injuries to the wrist include complicated fracture-dislocation injuries such as perilunate dislocations. Read More

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One-stage Distal Interphalangeal Joint Fusion With External Fixator for the Treatment of Septic Joint Arthritis.

Tech Hand Up Extrem Surg 2021 Jul 19. Epub 2021 Jul 19.

Hand Surgery Unit, Department of Orthopedics Infectious Diseases Unit, Hospital Universitario Marques de Valdecilla, Santander, Cantabria, Spain.

Septic joint arthritis in the small joints of the hand can be caused by penetrating trauma, ruptured ganglion cysts, or open joint dislocations, among others. The use of external fixation for the treatment of this condition has been reported in the past as a means of temporary joint distraction, or for secondary fusion procedures. In the present article, the authors describe a surgical technique involving the use of a low-cost external fixator for the primary arthrodesis of infected distal interphalangeal joints of the hand. Read More

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A novel technique for proximal interphalangeal joint fracture-dislocations: the second toe middle phalanx osteochondral graft.

J Hand Surg Eur Vol 2021 11 13;46(9):941-945. Epub 2021 Jul 13.

Department of Plastic & Reconstructive Surgery, Monash Health, Dandenong, VIC, Australia.

Many different surgical techniques have been used to treat unstable dorsal proximal interphalangeal joint fracture-dislocations. The authors have used the base of the middle phalanx of the second toe base as an alternative autograft to treat this type of injury. This retrospective study assessed the clinical outcomes of this procedure in 11 patients. Read More

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November 2021

Hemi-hamate Arthroplasty for Base of Middle Phalanx Fracture: A Systematic Review.

Hand (N Y) 2021 Jun 8:15589447211014623. Epub 2021 Jun 8.

Australian Research Collaboration on the Hand, Mudgeeraba, QLD, Australia.

Intra-articular fracture dislocations of the base of the middle phalanx are complex and debilitating injuries that present a management conundrum when nonreconstructable. Hemi-hamate arthroplasty (HHA) is a treatment modality of particular use in the setting of highly comminuted fractures. This systematic review aims to summarize the reported outcomes of HHA in this context. Read More

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Anatomy of Distal Articular Surface of Hamate Bone, A Cadaveric Study.

J Hand Surg Asian Pac Vol 2021 Jun;26(2):240-244

Upper Extremity and Reconstructive Unit, Institute of Orthopaedics, Lerdsin Hospital, Department of Orthopaedic Surgery, College of Medicine, Rangsit University, Bangkok, Thailand.

Hemi-hamate arthroplasty is one of the treatment options for dorsal proximal interphalangeal joint fracture dislocation. Many studies reported favorable outcomes. However, some long term studies demonstrated the degenerative change of PIP joint. Read More

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Rare presentation of bilateral thumb psoriatic arthritis treated with arthrodesis: a case report.

AME Case Rep 2021 25;5:18. Epub 2021 Apr 25.

Department of Orthopaedic Surgery, Georgetown University School of Medicine, Washington, DC, USA.

Psoriatic arthritis (PsA) is a seronegative inflammatory arthritis that occurs concomitantly with cutaneous manifestations and tendinous pathology that affects up to 1% of the general population. While the majority of cases are mild, nearly 20% of PsA patients will progress to severe disease manifesting as debilitating polyarticular inflammation and joint destruction. PsA is most commonly asymmetric and bilateral severe disease involving the same joints in each hand has rarely been reported in the literature. Read More

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Hemihamate arthroplasties in pilon fractures: a modified approach and experience in 30 patients.

J Hand Surg Eur Vol 2021 11 27;46(9):928-935. Epub 2021 Apr 27.

Department of Hand and Microvascular Surgery, Khoula Hospital, Muscat, Sultanate of Oman.

Hemihamate arthroplasty is an established method of managing difficult Pilon fractures of the proximal interphalangeal (PIP) joint. We present our experience in 30 patients, whose injuries were further complicated by severe comminution and late presentations. Several modifications were utilized, including preoperative distraction, use of smaller size grafts and functional release of collaterals. Read More

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November 2021