682 results match your criteria Dislocation Interphalangeal


Management of intraarticular proximal interphalangeal joint fracture-dislocations and pilon fractures with the Ligamentotaxor® device.

Arch Orthop Trauma Surg 2020 May 25. Epub 2020 May 25.

St Andrews Centre for Plastic Surgery, Broomfield Hospital, Chelmsford, CM1 7ET, UK.

Introduction: Fracture-dislocation and pilon injuries of the proximal interphalangeal joints (PIPJ) continue to pose significant management challenges. Stable fracture configurations can be treated with extension block splinting or pinning. Unstable fractures usually require open or closed reduction and fixation either directly/internally onto the fracture using Kirschner wires, cerclage wires, screws or miniplates or indirectly/externally by ligamentotaxis using external fixators which can be dynamic or static. Read More

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http://dx.doi.org/10.1007/s00402-020-03482-8DOI Listing

Open Dorsal Proximal Interphalangeal Dislocation.

Clin Pract Cases Emerg Med 2020 May 14;4(2):161-163. Epub 2020 Apr 14.

Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington.

We report a case of a 44-year-old male with an uncommon case of an open dorsal proximal interphalangeal (PIP) dislocation. Although open PIP dislocations are often volar, dorsal dislocations are fraught with complications due to the potential for infection and damage to supportive structures. Features of this case are discussed together with its implications, including lack of standardized management in the literature, use of a closed reduction following copious irrigation, and requirement for antibiotic use. Read More

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http://dx.doi.org/10.5811/cpcem.2019.12.45026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219985PMC

Results of fracture-dislocation of interphalangeal treatment with volar buttressing hook plating techniques.

Orthop Traumatol Surg Res 2020 Apr 29. Epub 2020 Apr 29.

Department of Orthopedics, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran.

Introduction: Proximal interphalangeal joint (PIP) is one of the joints exposed to upper limb injury. The dorsal fracture-dislocations of the PIP is a common injury. Treatment of cases with small avulsed bone fragments is challenging. Read More

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http://dx.doi.org/10.1016/j.otsr.2020.02.012DOI Listing

Percutaneous Reduction of a Dislocation of the Interphalangeal Joint of the Great Toe: A Case Report.

J Foot Ankle Surg 2020 Apr 25. Epub 2020 Apr 25.

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

Dorsal dislocation of the interphalangeal joint of the great toe is quite rare. Closed reduction is often attempted in the emergency setting, but this measure is seldom successful because of invagination of the sesamoid-plantar plate complex into the interphalangeal space. Generally, open reduction is indicated when closed reduction fails. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.12.047DOI Listing

Evaluation of the clinical and radiological outcome of hemi-hamate arthroplasty in the reconstruction of proximal interphalangeal Joint fracture-dislocations.

Med J Islam Repub Iran 2019 26;33:152. Epub 2019 Dec 26.

Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.

Hemi-hamate arthroplasty, a new attractive method for treatment of unstable Proximal Interphalangeal (PIP) joint fracture-dislocations, offers several advantages over the previous methods. This study was designed to evaluate the clinical and radiological outcome of this procedure. In this study, 14 patients and 15 fingers with PIP joint fracture-dislocations were evaluated, including 8 acute and 7 chronic injuries. Read More

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http://dx.doi.org/10.34171/mjiri.33.152DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7137877PMC
December 2019

Postoperative Dorsal Proximal Interphalangeal Joint Subluxation in Volar Base Middle Phalanx Fractures.

J Hand Microsurg 2020 Apr 2;12(1):32-36. Epub 2019 Nov 2.

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

 This study was designed to assess factors associated with postoperative dorsal proximal interphalangeal (PIP) joint subluxation after operative treatment of volar base middle phalanx fractures. Our second purpose was to study the association between postoperative dorsal subluxation with postoperative arthritis.  We identified 44 surgically treated volar base PIP joint fractures with available pre- and postoperative radiographs between 2002 and 2015 at two academic medical systems with a median follow-up of 3. Read More

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http://dx.doi.org/10.1055/s-0039-1697063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141896PMC

Hemi-hamate Arthroplasty in Chronic Fracture-dislocation of Proximal Interphalangeal Joint of Fingers: A Report of Two Cases.

Cureus 2020 Jan 22;12(1):e6735. Epub 2020 Jan 22.

Orthopaedics, Hospital Kuala Lumpur, Kuala Lumpur, MYS.

Dorsal dislocations of proximal interphalangeal joint with palmar lip fractures base of middle phalanx of fingers are rare, complex, and often a challenging injury to the treating hand surgeons especially in those chronic cases. Hemi-hamate arthroplasty is the preferred surgical option in treating chronic dorsal fracture-dislocations of the proximal interphalangeal joint. We report two cases with a chronic injury that have been treated with hemi-hamate arthroplasty. Read More

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http://dx.doi.org/10.7759/cureus.6735DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7039356PMC
January 2020

Open Reduction and Internal Fixation for Dorsal Fracture-dislocation of the Proximal Interphalangeal Joint.

Handchir Mikrochir Plast Chir 2020 Feb 5;52(1):18-24. Epub 2020 Mar 5.

Bundang CHA Medical Center Department of Orthopaedic Surgery.

Purpose:  The purpose of this study was to investigate and compare the clinical and radiological results of ORIF with inter-fragment screw or buttress plate fixation of acute PIP joint fracture dorsal dislocation.

Patients And Methods:  Between January 2007 to December 2016, nineteen patients - 14 men and 5 women with an average age of 40.9 (19 to 64) years - were included in this study; 9 patients underwent small sized interfragmentary screw fixation and 10 patients underwent small buttress plating. Read More

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http://dx.doi.org/10.1055/a-1075-2668DOI Listing
February 2020

Management of Finger Joint Dislocation and Fracture-Dislocations in Athletes.

Clin Sports Med 2020 Apr 4;39(2):423-442. Epub 2020 Feb 4.

Division of Plastic Surgery, Department of Surgery, University of Washington, Harborview Medical Center, 325 9th Avenue, Box 359796, Seattle, WA 98104, USA. Electronic address:

Although finger joint dislocations are generally thought of as benign by many athletes and assumed to be a sprain, these injuries represent a spectrum that includes disabling fracture-dislocations. Failure to recognize certain dislocations or fracture-dislocations may result in permanent deformity and loss of motion. Simple dislocations are frequently amenable to early return to play with protection; however, more complex injuries may require specialized splinting or surgery. Read More

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http://dx.doi.org/10.1016/j.csm.2019.10.006DOI Listing

Morphometric Assessment of the Residual Width of the Distal Hamate Articular Surface after Graft Harvest for Hemi-hamate Arthroplasty.

Arch Bone Jt Surg 2020 Jan;8(1):70-74

Department of Orthopaedic Surgery Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.

Background: The hemi-hamate arthroplasty (HHA) can restore joint congruity and stability in chronic fracture-dislocations of the proximal interphalangeal joint (PIPJ). Purpose of this study was to compare the width of the distal hamate articular surface (DHAS) to the width of the base of the middle phalanges (P2) of the fingers. We hypothesized the dimensions of the width of the DHAS would be similar to those of P2, leaving a small amount of residual DHAS width after autograft harvest. Read More

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http://dx.doi.org/10.22038/abjs.2019.38351.2014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7007718PMC
January 2020

An Analysis of Hamate Morphology Relevant to Hemi-Hamate Arthroplasty.

J Hand Surg Am 2020 Jan 6. Epub 2020 Jan 6.

Department of Orthopaedic Surgery, The Ohio State University Wexner Medical Center, Columbus, OH. Electronic address:

Purpose: Dorsal fracture-dislocations of the proximal interphalangeal (PIP) joint can lead to joint incongruity from loss of the buttress function of the middle phalanx volar base. Hemi-hamate arthroplasty can reconstruct the volar articular surface of the middle phalangeal base where repair is not possible. We compared the anatomy of the hamate graft with the middle phalanx base. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.11.009DOI Listing
January 2020

Open reduction and compression with double Kirschner wires for the treatment of old bony mallet finger.

J Orthop Surg Res 2019 Dec 21;14(1):459. Epub 2019 Dec 21.

Department of Orthopedics, The Forth Medical Center of the General Hospital of People's Liberation Army of China, Haidian District, Beijing, China.

Background: The management of old bony mallet fingers is complicated. The aim of the study is to present a new method of open reduction and compression with double Kirschner wires (K-wires) in treating old bony mallet fingers.

Methods: This was a retrospective analysis of patients with old closed bony mallet fingers treated between June 2013 and December 2016. Read More

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http://dx.doi.org/10.1186/s13018-019-1513-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925853PMC
December 2019
1.577 Impact Factor

Hemi-hamate osteochondral autograft for acute dorsal proximal interphalangeal fracture-dislocations.

Authors:
Birkan Kibar

Eur J Trauma Emerg Surg 2019 Dec 6. Epub 2019 Dec 6.

Orthopaedic and Hand Surgeon, Clinics of Orthopaedics and Traumatology, Haydarpaşa Numune Training and Research Hospital, Tıbbiye Street, Selimiye District, No: 23, 34668, Istanbul, Turkey.

Purpose: Our aim was to investigate the clinical and radiological results of a hemi-hamate autograft arthroplasty method in patients with acute trauma who had a fragmented fracture of the proximal palmar joint surface of the middle phalanx and dorsal PIP subluxation.

Methods: A total of 13 fingers from 13 patients who met the criteria were included in the study (11 men and 2 women) and prospectively reviewed. The mean age of the patients was 39. Read More

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http://dx.doi.org/10.1007/s00068-019-01281-4DOI Listing
December 2019

A Novel External Fixation Technique for Injuries of the Proximal Interphalangeal Joint.

Tech Hand Up Extrem Surg 2019 Dec;23(4):176-181

Department of Orthopaedic Surgery, University of Alabama, Birmingham, AL.

Digital external fixation is often used for the management of complex injuries involving the proximal interphalangeal joint, including pilon fractures of the middle phalanx base and unstable fracture-dislocations. Several dynamic "homemade" constructs have been described which utilize only K-wires and rubber bands and allow early range of motion within the construct. Although these constructs are inexpensive and their application is fairly straightforward, their designs pose a few potential problems when the construct is stressed during rehabilitation efforts. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000250DOI Listing
December 2019

Modified Hemihamate Arthroplasty With Oblique Osteotomy of the Middle Phalanx Base to Reconstruct Proper Contour of the Articular Surface.

Tech Hand Up Extrem Surg 2020 Jun;24(2):79-84

Hand Surgery Center, National Hospital Organization Murayama Medical Center, Musashimurayama City, Tokyo, Japan.

Treatments of unstable dorsal fracture dislocations of the proximal interphalangeal (PIP) joint are very challenging. The authors performed modified hemihamate arthroplasty for these injuries in 13 patients (13 fingers). Our surgical technique was unique in the point that we put volarly oblique osteotomy in the coronal plane at the recipient site to create an adequate reconstruction of the volar lip of the articular surface of the middle phalanx. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000268DOI Listing
June 2020
1 Read

Callus release and dynamic external fixation for delayed presentation of proximal interphalangeal joint fracture-dislocations.

J Hand Surg Eur Vol 2020 Feb 25;45(2):195-197. Epub 2019 Sep 25.

Department of Surgery, National Yang-Ming University.

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http://dx.doi.org/10.1177/1753193419877607DOI Listing
February 2020
2 Reads

Surgical Management of Proximal Interphalangeal Joint Fracture-Dislocations: A Review of Outcomes.

Hand (N Y) 2019 Sep 13:1558944719873152. Epub 2019 Sep 13.

University of Pittsburgh Medical Center, PA, USA.

Treatment of proximal interphalangeal joint (PIPJ) fracture-dislocations is difficult given the potential long-term complications of the involved finger and entire hand. Several surgical methods have been utilized for management of these injuries, none of which have shown consistently favorable results. The purpose of this systematic review of the literature is to report the post-operative outcomes of multiple treatment modalities for PIPJ fracture-dislocations in various studies. Read More

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http://journals.sagepub.com/doi/10.1177/1558944719873152
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http://dx.doi.org/10.1177/1558944719873152DOI Listing
September 2019
3 Reads

Ratio of dislocation types of the proximal interphalangeal joint of the fingers: A new classification system for initial therapy.

J Orthop Sci 2019 Nov 5;24(6):1042-1046. Epub 2019 Sep 5.

Department of Orthopaedic Surgery, Japanese Red Cross Narita Hospital, 90-1 Iidacho, Narita, Chiba Pref. 286-8523, Japan.

Background: We proposed a new system named the sagittal, coronal, axial, rotational and fracture (SCARF) classification, which can simply explain any condition of proximal interphalangeal (PIP) joint dislocations of the fingers. The purpose of this study was to verify that this classification would contribute to management of PIP joint dislocations at the initial therapy. We determined ratios of five factors in PIP dislocations with SCARF by interpreting radiographs and assessed the interobserver and intraobserver variability. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09492658193025
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http://dx.doi.org/10.1016/j.jos.2019.08.007DOI Listing
November 2019
11 Reads

Clinical and radiological midterm outcome after treatment of pilonoidal fracture dislocations of the proximal interphalangeal joint with a parabolic dynamic external fixator.

Arch Orthop Trauma Surg 2020 Jan 5;140(1):43-50. Epub 2019 Sep 5.

Department of Trauma Surgery, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.

Introduction: Several methods treating proximal interphalangeal joint (PIP) fracture dislocations have been established providing early joint mobilization. The aim of this study was to evaluate the clinical and radiological outcome of unstable fracture dislocations of the PIP treated with a parabolic dynamic external fixator consisting of two Kirschner (K)-wires.

Materials And Methods: Twenty-one patients who sustained a pilonoidal fracture of the PIP joint and were treated with a dynamic external fixator were evaluated retrospectively. Read More

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http://dx.doi.org/10.1007/s00402-019-03275-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942001PMC
January 2020
1 Read

Outcomes of the Hemi-Hamatum Arthroplasty.

J Hand Surg Asian Pac Vol 2019 Sep;24(3):342-346

Riga Stradins University, Riga, Latvia.

Multi-fragmental intra-articular middle phalanx base fractures mostly occur in young adults during sports or work-related activities. If left untreated properly proximal interphalangeal joint (PIPJ) instability and pain persists, thus impairing the hand's function and the patient's quality of life. Joint surface reconstruction with hamate osteochondral graft can be used for multi-fragmental middle phalanx base reconstruction. Read More

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http://dx.doi.org/10.1142/S2424835519500437DOI Listing
September 2019

Midterm Clinical and Radiographic Follow-Up of Pyrolytic Carbon PIP Arthroplasty.

J Hand Surg Am 2020 Mar 14;45(3):253.e1-253.e6. Epub 2019 Aug 14.

Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA. Electronic address:

Purpose: The use of pyrolytic carbon arthroplasty (PCA) for the proximal interphalangeal (PIP) joint is controversial. The goal of this study was to evaluate the clinical and radiographic midterm outcomes of PIP joint PCA.

Methods: Patients were contacted after PIP PCA at 6. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.06.008DOI Listing
March 2020
4 Reads

Volar Buttress Plating for Unstable Dorsal Fracture-Dislocations of the Proximal Interphalangeal Joint.

J Hand Microsurg 2019 Aug 1;11(2):106-110. Epub 2019 Feb 1.

Department of Trauma and Orthopaedics, Queen Elizabeth Hospital, Birmingham, United Kingdom.

The authors present a series of 11 patients. All of them sustained an unstable dorsal fracture-dislocation of the proximal interphalangeal joint (PIPJ). These were managed with open reduction and internal fixation (ORIF) by use of an eight-hole, 1. Read More

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http://dx.doi.org/10.1055/s-0038-1677319DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6692143PMC
August 2019
4 Reads

[Percutaneous treatment of unstable fractures of the base of the middle phalanx : Technique according to Hintringer and Ender].

Oper Orthop Traumatol 2019 Oct 25;31(5):384-392. Epub 2019 Jul 25.

AUVA Unfallkrankenhaus Lorenz Böhler - European Hand Trauma Center, 1200, Wien, Österreich.

Objective: Reconstruction of intra-articular impression fractures of the middle phalanx by percutaneous reduction over a small dorsal cortical window. Stabilization by lattice-like arranged K‑wires.

Indications: Impression fractures of the base of the middle phalanx with or without dislocation in the proximal interphalangeal joint. Read More

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http://dx.doi.org/10.1007/s00064-019-0621-9DOI Listing
October 2019
4 Reads

Irreducible Dorsal Distal Interphalangeal Joint Dislocation of Finger: A Case Report and Perspectives on Management.

Cureus 2019 May 2;11(5):e4588. Epub 2019 May 2.

Orthopaedics, Hospital Kuala Lumpur, Kuala Lumpur, MYS.

Irreducible closed dorsal dislocation of distal interphalangeal (DIP) joint of the finger is a rare injury. The causes of irreducibility of the DIP joint are volar plate interposition, entrapment of flexor digitorum profundus tendon behind the head of middle phalanx, and buttonholing of the middle phalanx head through the volar plate or flexor tendon. Open reduction with a volar approach is recommended with the advantages of better wound healing, ease of releasing entrapped structures, and possibilities of a volar plate, collateral ligaments, and/or flexor tendon repair. Read More

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http://dx.doi.org/10.7759/cureus.4588DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6609283PMC
May 2019
1 Read

Functional and radiological outcomes of multiple dorsal carpometacarpal fracture dislocations treated with open reduction and internal fixation.

Eklem Hastalik Cerrahisi 2019 Aug;30(2):130-6

Department of Orthopedics and Traumatology, Şişli Hamidiye Etfal Training and Research Hospital, 34381 Şişli, Istanbul, Turkey.

Objectives: This study aims to evaluate the clinical and radiological results of patients with multiple dorsal carpometacarpal (CMC) joint fracture dislocations treated with open reduction and internal fixation (ORIF).

Patients And Methods: We evaluated 14 patients (12 males, 2 females; mean age 35.1 years; range, 22 to 64 years) between January 2013 and December 2017. Read More

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http://dx.doi.org/10.5606/ehc.2019.64279DOI Listing
August 2019
3 Reads

Reoperation After Operative Fixation of Proximal Interphalangeal Joint Fractures.

Hand (N Y) 2019 Jul 9:1558944719858429. Epub 2019 Jul 9.

1 Harvard Medical School, Massachusetts General Hospital, Boston, USA.

The purpose of this study was to determine the reoperation rate and what factors are associated with reoperation of proximal interphalangeal (PIP) joint fractures. We identified 161 surgically treated PIP joint fractures between 2004 and 2015 at 2 academic medical systems. Demographic, injury, radiographic, and treatment data that might be associated with reoperation were collected. Read More

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http://dx.doi.org/10.1177/1558944719858429DOI Listing
July 2019
5 Reads

Proximal Interphalangeal Joint Arthroplasty in Young Patients.

J Am Acad Orthop Surg 2019 Jun;27(12):444-450

From the Department of Orthopedic Surgery, Division of Hand Surgery, Mayo Clinic, Rochester, MN.

Introduction: This investigation compares the outcomes of proximal interphalangeal (PIP) arthroplasty in patients older than and younger than 60 years.

Methods: Overall, 299 consecutive, primary PIP arthroplasties were performed over a 14-year period, including 126 arthroplasties performed in patients younger than 60 years. In younger patients group, a higher rate of posttraumatic and inflammatory arthritis was observed. Read More

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http://dx.doi.org/10.5435/JAAOS-D-17-00109DOI Listing
June 2019
39 Reads

Modified Transosseous Wiring Technique for Neglected Fracture-Dislocation of the Proximal Interphalangeal Joint.

Clin Orthop Surg 2019 Jun 9;11(2):220-225. Epub 2019 May 9.

Department of Orthopaedic Surgery, Keimyung University Dongsan Medical Center, Daegu, Korea.

Background: Fracture-dislocation of the proximal interphalangeal (PIP) joint of the finger is challenging due to the high risk of stiffness. The purpose of this study is to evaluate the clinical and radiological results of a modified transosseous wiring technique for the management of chronic fracture-dislocations of the PIP joint.

Methods: Ten patients (nine men and one woman; mean age, 38. Read More

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http://dx.doi.org/10.4055/cios.2019.11.2.220DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6526134PMC
June 2019
7 Reads

How many challenges we may encounter in anterior megalophthalmos with white cataract: a case report.

BMC Ophthalmol 2019 May 30;19(1):122. Epub 2019 May 30.

Eye Institute, Eye and ENT Hospital, Shanghai Medical College, Fudan University, Shanghai, 200031, China.

Background: Anterior megalophthalmos is a rare congenital disease which mainly features enlargement of the anterior segment. Cataract surgeries in anterior megalophthalmos can be challenging due to the anatomical anomalies while the studies upon the surgical design have been less integrated.

Case Presentation: A 37-year-old woman presented with progressively blurred vision in the right eye after a transient fever 10 months ago. Read More

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http://dx.doi.org/10.1186/s12886-019-1133-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6543662PMC
May 2019
22 Reads

Injuries Around the Proximal Interphalangeal Joint.

Clin Plast Surg 2019 Jul 20;46(3):437-449. Epub 2019 Apr 20.

Department of Hand and Reconstructive Microsurgery, National University Health System, Level 11, Tower Block, 1E Kent Ridge Road, 119228, Singapore. Electronic address:

Proximal interphalangeal joint (PIPJ) injuries are common and challenging to treat, involving a spectrum of conditions ranging from isolated ligamentous injuries to severe fracture dislocations. The main goal of treatment is to achieve a congruent, stable joint, which is key to achieving early range of motion and a favorable outcome. Injuries that do not compromise the stability of the joint may be treated nonsurgically, whereas those that render the joint unstable may be managed with one of many surgical strategies available. Read More

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http://dx.doi.org/10.1016/j.cps.2019.03.005DOI Listing
July 2019
28 Reads

Dorsal Block Splinting of Volar Plate Injuries at Neutral Position.

Ann Plast Surg 2019 05;82(5):520-522

Purpose: Volar plate injuries of the proximal interphalangeal joint (PIPJ) of a finger are common, often occurring in sporting or workplace incidents. Treatment of a stable dorsal dislocation entails a conservative approach, directed at preventing hyperextension and allowing the ligament to heal in position that does not negatively impact on healing. Current treatment regimens include dorsal block splinting (DBS) in 30° of flexion, which maintains the PIPJ in flexion in order to prevent any strain on the healing tissue while attempting to restore anatomical position. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001820DOI Listing
May 2019
14 Reads

Domestic Horse Bite: An Unusual Etiology of Crush Injury of the Fourth Finger-How to Manage?

Case Rep Infect Dis 2019 30;2019:2156269. Epub 2019 Jan 30.

Orthopedic Surgery and Traumatology, Department of Orthopedic Surgery and Traumatology, Military Hospital Mohammed V (HMIMV), BP 10100 Rabat, Morocco.

Almost 2% of all emergency admissions involve an animal bite. While horses bite humans very rarely, their bites are mostly associated with fatalities. Herein, we report the case of a 23-year old bitten by a domestic horse causing a crush injury to his fourth finger with fracture dislocation of the proximal interphalangeal joint. Read More

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http://dx.doi.org/10.1155/2019/2156269DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374822PMC
January 2019
11 Reads

Unstable Dorsal Fracture-Dislocations of the Proximal Interphalangeal Joint: Volar Plate Fixation with or without Bone Graft.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):50-54

1 Birmingham Hand Centre, Queen Elizabeth Hospital, Birmingham, UK.

Background: To evaluate the treatment of severe dorsal fracture dislocation (DFD) injuries of the proximal interphalangeal joint (PIPJ) by open reduction, bone grafting and fixation with mini-hook plates.

Methods: Fourteen patients with extensive dorsal fracture dislocation of the PIPJ were operatively treated to reconstruct the fractured middle phalanx volar lip using a fabricated hook plate in conjunction with elevation and bone grafting of depressed articular fragments where present.

Results: Restoration of PIPJ articular anatomy and congruence by hook plate fixation permitted full-range mobilization of the joint during fracture healing, with an average arc of motion of 81° and an average loss of extension of 12. Read More

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http://dx.doi.org/10.1142/S2424835519500097DOI Listing
March 2019
9 Reads

A novel dynamic distraction external fixator for proximal interphalangeal joint fracture dislocation.

J Int Med Res 2019 Apr 12;47(4):1628-1635. Epub 2019 Feb 12.

*These authors contributed equally to this work.

Objective: To evaluate the efficacy of a novel dynamic distraction external fixator for proximal interphalangeal joint (PIPJ) fracture-dislocation.

Methods: From March 2005 to March 2014, 20 patients with PIPJ fracture-dislocation were treated with our technique. Function scores according to the Michigan Hand Outcome Questionnaire (MHQ) score, union time, grip strength, and range of motion (ROM) were recorded before and after treatment. Read More

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http://dx.doi.org/10.1177/0300060519826821DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6460624PMC
April 2019
8 Reads

Comparison of Percutaneous Reduction and Pin Fixation in Acute and Chronic Pediatric Mallet Fractures.

J Pediatr Orthop 2019 Mar;39(3):146-152

Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children and Children's Medical Center of Dallas, Dallas, TX.

Background: Although pediatric mallet fractures are more common than adult fractures, no techniques have focused on surgical fixation of pediatric mallet fractures. This study aims to describe the technique and results of percutaneous reduction and fixation in acute and chronic pediatric mallet fractures.

Methods: This is a retrospective review of 51 pediatric mallet fractures treated with percutaneous wire fixation from 2007 to 2014; 38 were acute fractures and 13 were chronic (>4 wk from injury). Read More

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http://dx.doi.org/10.1097/BPO.0000000000000896DOI Listing
March 2019
9 Reads

Dorsal-approach open reduction for irreducible dislocation of the hallux interphalangeal joint: A case series.

Int J Surg Case Rep 2018 1;53:316-321. Epub 2018 Nov 1.

Division of Orthopedic Surgery, Department of Regenerative and Transplant Medicine, Niigata University Graduate School of Medical and Dental Sciences, Asahimachi-dori 1, Niigata 951-8510, Japan. Electronic address:

Introduction: The common treatment for hallux interphalangeal joint dislocation is closed reduction, but some cannot be reduced by interposition of the sesamoid or the plantar plate in the interphalangeal joint, and such cases need open reduction.

Presentation Of Case: In case 1, the patient was a 17-year-old boy who was injured when a motorcycle fell on his right hallux. X-ray revealed Miki type 2 IP joint dislocation. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.10.068DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260377PMC
November 2018
10 Reads

The Acute Management of Unstable Intra-Articular Fractures of the Base of the Middle Phalanx: A Systematic Review.

J Hand Surg Asian Pac Vol 2018 Dec;23(4):441-449

1 Brighton and Sussex Medical School, University of Brighton, London, UK.

Background: Within hand trauma, the management of unstable, intra-articular fractures of the base of the middle phalanx remains highly controversial. The objective of this research was to determine which operation gives the best outcome in the management of displaced, intra-articular fractures of the base of the middle phalanx causing instability of the proximal interphalangeal joint.

Methods: A scoping study was performed to determine the evidence available and the terminology used. Read More

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https://www.worldscientific.com/doi/abs/10.1142/S24248355183
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http://dx.doi.org/10.1142/S2424835518300037DOI Listing
December 2018
23 Reads

The Relationship Between Hemihamate Graft Size and Proximal Interphalangeal Joint Flexion for Reconstruction of Fracture-Dislocations: A Biomechanical Study.

J Hand Surg Am 2019 Aug 9;44(8):696.e1-696.e6. Epub 2018 Nov 9.

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

Purpose: The purpose of this study was to determine the relationship between hemihamate graft size and proximal interphalangeal (PIP) joint flexion in a biomechanical fracture-dislocation model.

Methods: We simulated middle finger PIP fracture-dislocations in 5 cadaver hands by resecting 50% of the palmar articular surface of the middle phalanx (P2) base. Fluoroscopy was used to confirm dorsal subluxation of the middle phalanx base after resection. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03635023183038
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http://dx.doi.org/10.1016/j.jhsa.2018.09.017DOI Listing
August 2019
42 Reads

Volar plate avulsion fracture alone or concomitant with collateral ligament rupture of the proximal interphalangeal joint: A comparison of surgical outcomes.

Arch Plast Surg 2018 Sep 15;45(5):458-465. Epub 2018 Sep 15.

Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Korea.

Background: Volar plate avulsion fracture of the proximal interphalangeal (PIP) joint is one of the most common hand injuries. In this study, we divided patients into two groups: patients with pure volar plate avulsion fracture, and patients with volar plate avulsion fracture concomitant with collateral ligament rupture. The purpose of this study was to compare long-term surgical outcomes between the two groups. Read More

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http://e-aps.org/journal/view.php?doi=10.5999/aps.2018.00346
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http://dx.doi.org/10.5999/aps.2018.00346DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177630PMC
September 2018
31 Reads

[Reconstruction of the middle phalangeal base of the finger using an osteocartilaginous autograft from the hamate].

Oper Orthop Traumatol 2019 Oct 14;31(5):393-407. Epub 2018 Sep 14.

Klinik für Handchirurgie, Salzburger Leite 1, 97616, Bad Neustadt a. d. Saale, Deutschland.

Objective: Restoration of proximal interphalangeal joint stability with preservation of mobility by reconstruction of the middle phalanx base using an osteochondral graft from the carpometacarpal joint surface of the hamate.

Indications: Acute and older isolated destruction of the palmar middle phalanx base >25%.

Contraindications: Destruction of the head of the proximal phalanx, advanced chondropathia of the head of the proximal phalanx, extensive soft tissue injury with loss of skin coverage at the proximal interphalangeal joint. Read More

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http://dx.doi.org/10.1007/s00064-018-0566-4DOI Listing
October 2019
13 Reads

Medium-Term Outcomes With Pyrocarbon Proximal Interphalangeal Arthroplasty: A Study of 170 Consecutive Arthroplasties.

J Hand Surg Am 2018 09;43(9):797-805

Department of Orthopedic Surgery, Division of Hand Surgery, Mayo Clinic, Rochester, MN. Electronic address:

Purpose: The purpose of this study was to examine the medium-term outcomes of patients undergoing proximal interphalangeal (PIP) joint arthroplasty using a pyrocarbon implant.

Methods: The study comprised an analysis of 170 PIP joint pyrocarbon arthroplasties in 99 patients with a minimum 2-year clinical follow-up. Diagnoses included inflammatory arthritis (n = 49), posttraumatic arthritis (n = 29), and osteoarthritis (n = 92). Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.06.020DOI Listing
September 2018
31 Reads

Irreducible Dislocation of the Proximal Interphalangeal Joint of the Second Toe in a Six-Year-Old Child: A Case Report.

JBJS Case Connect 2018 Jul-Sep;8(3):e66

Pilgrim Hospital, Boston, United Kingdom.

Case: Closed reduction was unsuccessful in a 6-year-old girl with a dislocated proximal interphalangeal joint of the second toe. Surgical exploration revealed soft-tissue entrapment by a ruptured medial collateral ligament. After the entrapment was cleared, the joint was reduced but remained unstable. Read More

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http://dx.doi.org/10.2106/JBJS.CC.18.00023DOI Listing
November 2019
5 Reads

Joint distraction and early mobilization using a new dynamic external finger fixator for the treatment of fracture-dislocations of the proximal interphalangeal joint.

J Orthop Sci 2018 Nov 9;23(6):959-966. Epub 2018 Aug 9.

Department of Orthopaedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University Kasumi, 1-2-3, Minami-ku, Hiroshima, Hiroshima 734-8551, Japan.

Background: Dynamic external fixation is a useful treatment option for unstable fracture-dislocations of the proximal interphalangeal (PIP) joint, because it simultaneously reduces axial pressure load on the joint surface, maintains congruent joint reduction, and permits early joint motion. However, most current devices are large, hindering finger movement, and unstable. To address these problems, we developed a dynamic external finger fixator, named the Micro Ortho Fixator. Read More

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http://dx.doi.org/10.1016/j.jos.2018.07.013DOI Listing
November 2018
36 Reads

Distraction ligamentotaxis for complex proximal interphalangeal joint fracture dislocations: a clinical study and the modified pins rubber band traction system revisited.

Burns Trauma 2018 23;6:23. Epub 2018 Jul 23.

1Department of Plastic and Reconstructive Surgery, Monash Health (Dandenong Hospital), 135 David St, Dandenong, Victoria 3175 Australia.

Background: The purpose of this study is to present our experience with the modified pins and rubber band traction system, discuss problems encountered, and make recommendations to optimize outcomes.

Methods: Data was collected prospectively from November 2013 to March 2017 at a tertiary referral hospital in Melbourne, Australia. Patients with closed complex proximal interphalangeal joint fracture dislocations that were considered unsuitable for other surgical options were included in the study. Read More

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http://dx.doi.org/10.1186/s41038-018-0124-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6081902PMC
July 2018
22 Reads

[Phalangeal fractures of the hand].

Ugeskr Laeger 2018 Aug;180(32)

Phalangeal fractures are common in all ages. Stable, extra-articular fractures can be treated non-operatively by closed reduction and buddy taping, while surgical fixation should be considered for unstable and displaced extra-articular fractures and most intra-articular fractures. The treatment should aim at early, active mobilisation in order to achieve the optimal functional outcome. Read More

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August 2018
18 Reads

Open Reduction Internal Fixation With Transverse Volar Plating for Unstable Proximal Interphalangeal Fracture-Dislocation: The Seatbelt Procedure.

Hand (N Y) 2020 Mar 28;15(2):201-207. Epub 2018 Jul 28.

Duke University Medical Center, Durham, NC, USA.

Unstable intra-articular proximal interphalangeal (PIP) joint fracture-dislocations present a difficult problem that requires congruous joint reduction and stable internal fixation or distraction. Though fractures with limited articular involvement may be treated successfully with less invasive procedures, fracture-dislocations with a volar shear component may benefit from joint reduction with subchondral support for maintenance of stability. The purpose of this article is to describe a volar transverse plate and screw technique and report the short-term postoperative results. Read More

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http://dx.doi.org/10.1177/1558944718790063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7076617PMC
March 2020
13 Reads

Evaluation of Articular Surface Similarity of Hemi-Hamate Grafts and Proximal Middle Phalanx Morphology: A 3D Geometric Morphometric Approach.

J Hand Surg Am 2019 Feb 14;44(2):121-128. Epub 2018 Jul 14.

Department of Integrative Anatomical Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA; Human and Evolutionary Biology Section, Department of Biological Sciences, University of Southern California, Los Angeles, CA.

Purpose: Hemi-hamate arthroplasty has been described as a viable treatment option for unstable proximal interphalangeal joint fracture-dislocations. The procedure uses a dorsal distal hamate osteochondral graft to recreate the injured volar middle phalanx (MP) proximal base. The purpose of this study was to evaluate the similarity in shape of these articular surfaces using quantitative 3-dimensional methods. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.06.008DOI Listing
February 2019
21 Reads

Early Return to Play With Thumb Spica Gauntlet Casting for Ulnar Collateral Ligament Injuries Complicated by Adjacent Joint Dislocations in Collegiate Football Linemen.

Hand (N Y) 2020 Jan 17;15(1):92-96. Epub 2018 Jul 17.

Houston Methodist Hospital, TX, USA.

Treatment of thumb ulnar collateral ligament (UCL) ruptures in elite athletes aims to restore thumb stability while minimizing lost playing time. Thus, surgical repair with early protected return to play in a thumb spica cast has been advocated. The purpose of this study was to document adjacent joint dislocations after primary surgical repair sustained during protected return to play with thumb spica casting in elite-level football players. Read More

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http://journals.sagepub.com/doi/10.1177/1558944718788644
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http://dx.doi.org/10.1177/1558944718788644DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966282PMC
January 2020
16 Reads

Irreducible Dislocations of the Proximal Interphalangeal Joint: Algorithm for Open Reduction and Soft-tissue Repair.

Plast Reconstr Surg Glob Open 2018 May 18;6(5):e1729. Epub 2018 May 18.

Hand Surgery, Kantonsspital Baselland, Liestal, Switzerland.

The "jammed finger" is among the most common hand injuries and may include simple sprains, dislocations, fractures, and fracture-dislocations. In contrast, irreducible dislocations of the proximal interphalangeal joint are rare injuries. However, they must not be overlooked in the primary assessment, because persistent subluxation may lead to joint contracture, severely compromising hand function. Read More

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http://Insights.ovid.com/crossref?an=01720096-201805000-0001
Publisher Site
http://dx.doi.org/10.1097/GOX.0000000000001729DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999442PMC
May 2018
16 Reads