718 results match your criteria Dislocation Interphalangeal


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 Apr 27:17531934211008056. 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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Radiographic findings of Desbuquois dysplasia.

BJR Case Rep 2021 Apr 2;7(2):20200137. Epub 2020 Nov 2.

Department of Radiology, University of Health Sciences Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.

Desbuquois dysplasia is an autosomal recessive chondrodysplasia characterized by severe micromelic dwarfism, joint laxity, progressive scoliosis, and advanced carpotarsal ossification. Two different types of Desbuquois dysplasia have been identified according to the presence (Type 1) or absence (Type 2) of characteristic hand abnormalities including bifid distal thumb phalanx, an extra ossification center distal to the second metacarpal, and interphalangeal joint dislocations. Further, Kim et al have described a milder variant of Desbuquois dysplasia characterized by short stature and hands with short metacarpals, elongated proximal and distal phalanges, and extremely advanced carpal ossification. Read More

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Outcomes After Surgically Managed Oblique Extra-Articular Proximal Phalanx Fractures: A Comparison of Closed-Reduction Percutaneous Pinning and Open-Reduction Internal Fixation With Lag Screws.

Hand (N Y) 2021 Apr 9:15589447211003185. Epub 2021 Apr 9.

Rothman Orthopaedic Institute, Philadelphia, PA, USA.

Background: Long oblique extra-articular proximal phalanx fractures are common orthopedic injuries. When unstable and without substantial comminution, treatment options include closed-reduction percutaneous pinning (CRPP) and open-reduction internal fixation using lag screws (ORIF-screws). The aims of this study are primarily to compare the functional outcomes and complication rates between these techniques and secondarily to assess potential factors affecting outcomes after surgery. Read More

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Double Interphalangeal Joint Dislocation of the Finger in Adolescent Athletes: A Review of Two Cases and the Relevant Literature.

Case Rep Orthop 2021 15;2021:6684553. Epub 2021 Mar 15.

2nd Orthopaedic Department, General Hospital of Thessaloniki "Papageorgiou", Ring Road-N. Eukarpia, 56403 Thessaloniki, Greece.

Double interphalangeal joint dislocation of the same finger is a rare condition. We report two cases of adolescent athletes with distal and proximal interphalangeal joint dislocation. The diagnosis was confirmed with plain radiograph, while anatomical reduction was easily obtained with gentle longitudinal traction. Read More

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Percutaneous Intramedullary Reduction Technique for Impacted Middle Phalanx Base Fractures.

Tech Hand Up Extrem Surg 2021 Mar 24. Epub 2021 Mar 24.

Department of Hand Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Proximal interphalangeal joint injuries are common and are a major risk for functional deficits of the finger that affect range of motion and grip strength. Impacted intra-articular fractures and fracture dislocations of the middle phalanx base are challenging to treat because of troublesome joint reduction and difficulties in achieving articular congruity. Although treatment algorithms have been published, the anatomically delicate proximal interphalangeal joint often remains incomplete in function and may result in post-traumatic pain, stiffness, and osteoarthritis. Read More

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Open Interphalangeal Dislocation of the Great Toe in an Amateur Football Player: A Rare Case Report.

J Orthop Case Rep 2020 Jul;10(4):78-81

Department of Orthopaedics, General Hospital of Grevena, Region Military Camp, 51100. Grevena, Greece.

Introduction: Open interphalangeal (IP) dislocations are completely uncommon. Up to now, different patterns of dislocation have been described. The combination of axial loading and hyperdorsiflexion forces, leading to plantar dislocation of the distal phalanx, is a rare type of injury, which has yet not been reported. Read More

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Open dorsal distal interphalangeal joint dislocations: A report of 20 cases.

Orthop Traumatol Surg Res 2021 Feb 9:102852. Epub 2021 Feb 9.

Olympia Hospital & Research Centre, Trichy, Tamilnadu, India. Electronic address:

Introduction: Several isolated closed dislocations of the dorsal interphalangeal joint are reported, and sometimes they may be associated with other fractures/dislocations. Less is known about the open dorsal dislocation of the distal interphalangeal joint.

Hypothesis: Open dorsal dislocations are stable after reduction and prone to develop dorsal interphalangeal joint stiffness. Read More

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February 2021

Concomitant Dislocation of the Hallucal Interphalangeal Joint and Extra-Articular Dislocation of Its Sesamoid: A Case Report.

JBJS Case Connect 2020 12 24;10(4):e20.00388. Epub 2020 Dec 24.

Department of Orthopaedic Surgery, Altnagelvin Hospital, Londonderry, Northern Ireland, U.K.

Case: A 22-year-old man sustained closed dislocation of the hallucal interphalangeal joint (HIPJ). Painful limitation of movements persisted 2 months after closed reduction. Magnetic resonance imaging revealed dislocation of the hallucal interphalangeal joint sesamoid (HIPJS) from its intra-articular attachment on the superior surface of the plantar plate to an extra-articular subcutaneous location, plantar and lateral to the flexor hallucis longus tendon. Read More

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December 2020

Rotatory subluxation of the proximal interphalangeal joint: an easily missed diagnosis.

BMJ Case Rep 2021 Jan 11;14(1). Epub 2021 Jan 11.

Trauma and Orthopaedics, Bristol Royal Infirmary, Bristol, UK.

We present a case of volar rotatory subluxation of index finger proximal interphalangeal joint (PIPJ) following a skiing accident. The injury was initially perceived to be a central slip rupture and treatment was directed as such. After the initial delay in the diagnosis, the patient underwent surgery during which his radial collateral ligament was found to be avulsed from the proximal origin, the radial lateral band palmarly subluxed and was interposed in the joint space. Read More

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January 2021

Treatment for Acute Proximal Interphalangeal Joint Fractures and Fracture-Dislocations: A Systematic Review of the Literature.

J Hand Microsurg 2020 Oct 10;12(Suppl 1):S9-S15. Epub 2020 Aug 10.

Department of Orthopaedic Surgery, Jersey City Medical Center-RWJBarnabas Health, Jersey City, New Jersey, United States.

Proximal interphalangeal joint (PIPJ) fractures and fracture-dislocations are common hand injuries and recognition of this injury pattern is essential in the management of these fractures. Although a variety of treatment options have been reported in the literature, the optimal treatment remains controversial. MEDLINE, EMBASE, and The Cochrane Library Database were screened for treatment strategies of PIPJ fracture and fracture-dislocation. Read More

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October 2020

Case Report: Bridge Plating for Unstable PIP Fracture Dislocation.

Arch Bone Jt Surg 2020 Nov;8(6):739-743

Department of Orthopedics, Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, PA, USA.

Proximal interphalangeal (PIP) fracture-dislocation is a relatively common injury that results from "jamming" a finger. Treatment hinges on the degree of articular surface involvement, which determines stability of the joint. For unstable injuries, a variety of surgical interventions have been described including extension block pinning, open reduction internal fixation, volar plate arthroplasty, static or dynamic external fixation, and hemi-hamate reconstruction. Read More

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November 2020

Missed Fracture Dislocation of the Fifth Toe in a Two-Year-Old Child: A Case Report.

J Foot Ankle Surg 2021 Jan-Feb;60(1):172-175. Epub 2020 Jun 30.

Research Fellow, Texas Children's Hospital, Division of Orthopedic Surgery; Houston, TX; Research Fellow, Baylor College of Medicine, Department of Orthopedic Surgery, Houston, TX. Electronic address:

Fracture dislocation injuries of the toes are rare among pediatric population. These injuries when acute are mostly treated conservatively and a good reduction must be ensured. We present the case of a 2-year-old girl who presented with missed chronic fracture dislocation of the proximal interphalangeal joint of the fifth toe, which was managed by open reduction and internal fixation and had a good outcome at over 1 year of follow up. Read More

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A Novel Technique for Dynamic External Fixation of Proximal Interphalangeal Joint Fracture-Dislocations.

J Hand Surg Asian Pac Vol 2020 Dec;25(4):427-433

Department of Orthopedic Surgery, Queen Savang Vadhana Memorial Hospital, Chonburi, Thailand.

The pins and rubbers traction system is widely used to treat unstable proximal interphalangeal (PIP) joint fracture-dislocations. However, dealing with rubber bands can be difficult due to its elasticity and weakness. The purpose of this study was to report the results of an alternative dynamic external fixator technique for unstable PIP joint injuries. Read More

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December 2020

Proximal Interphalangeal Hyperextension Injuries in Children: The Development of a Clinical Decision Guide.

J Pediatr 2021 03 21;230:140-145. Epub 2020 Oct 21.

Service of Pediatric Orthopedics, Department of Child and Adolescent, University Hospitals of Geneva, Geneva, Switzerland.

Objective: To develop a clinical decision guide for the diagnosis and treatment of hyperextension injuries of long fingers.

Study Design: Consecutive patients age <16 years (n = 300) with an acute proximal interphalangeal (PIP) joint hyperextension injury were included. High-risk and low-risk measures for severe injury were established with a standardized clinical examination and anteroposterior and lateral radiographs of the injured finger. Read More

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Reverse radiodorsal artery-pedicled thumb metacarpal vascularized bone graft for osteochondral fracture of the thumb interphalangeal joint with a bone defect: A case report.

Microsurgery 2021 Feb 4;41(2):170-174. Epub 2020 Oct 4.

Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.

Osteochondral fractures of the fingers are challenging to treat, and it is mandatory to acquire early bone union and joint surface reconstruction to obtain satisfactory outcomes. These injuries sometimes occur as open fractures with poor soft tissue condition and bone defect adjacent to osteochondral fragment. For such cases, surgical treatment can be more difficult, and vascularized bone graft (VBG) could be a useful method for joint reconstruction. Read More

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February 2021

Isolated Shear Fracture of the Metatarsal Head in Lesser Toes Treated With ORIF: Case Series.

Foot Ankle Int 2021 Jan 26;42(1):46-54. Epub 2020 Sep 26.

Department of Foot and Ankle Surgery, Beijing Jishuitan Hospital, the Fourth Clinical Medical College of Peking University, Beijing, China.

Background: Isolated shear fractures of a metatarsal head in the lesser toes are rare in clinical practice. We report the clinical and imaging characteristics, and treatment results, of these fractures.

Methods: A retrospective consecutive case-series study was performed on 7 patients with symptomatic isolated shear fracture of a metatarsal head in the lesser toes who were operatively treated using open reduction and internal fixation (ORIF). Read More

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January 2021

Juberg-Hayward syndrome and Roberts syndrome are allelic, caused by mutations in ESCO2.

Arch Oral Biol 2020 Nov 16;119:104918. Epub 2020 Sep 16.

Department of Anatomy, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Objective: Juberg-Hayward syndrome (JHS; MIM 216100) is a rare autosomal recessive malformation syndrome, characterized by cleft lip/palate, microcephaly, ptosis, hypoplasia or aplasia of thumbs, short stature, dislocation of radial head, and fusion of humerus and radius leading to elbow restriction. A homozygous mutation in ESCO2 has recently been reported to cause Juberg-Hayward syndrome. Our objective was to investigate the molecular etiology of Juberg-Hayward syndrome in two affected Lisu tribe brothers. Read More

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November 2020

Percutaneous reduction of irreducible dislocation of the interphalangeal joint of the hallux: A simple technique for a rare injury.

Jt Dis Relat Surg 2020 ;31(3):610-613

SBÜ Keçiören Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği, 06280 Keçiören, Ankara, Türkiye.

Irreducible dislocation of the interphalangeal joint (IPJ) of hallux is a rare injury due to its intrinsic stabile anatomy. Open reduction is the commonly preferred treatment option once closed reduction attempts fail. In this article, we present a 37-year-old male patient with an irreducible dislocation of the IPJ of the hallux treated with Kirschner (K)-wire assisted percutaneous reduction. Read More

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February 2021

Factors Related to Failure of Conservative Treatment in Volar Plate Avulsion Fractures of the Proximal Interphalangeal Joint.

Clin Orthop Surg 2020 Sep 3;12(3):379-385. Epub 2020 Jun 3.

Department of Orthopaedic Surgery, National Medical Center, Seoul, Korea.

Backgroud: Volar plate avulsion fractures of the proximal interphalangeal (PIP) joint are a common hand injury and have been treated conservatively with favorable results. We assumed that conservative treatment of volar plate avulsion fractures of the PIP joint would be unsuccessful if the fracture fragment, even if small, was much displaced or rotated and that delayed excision of the avulsion fractures would result in good outcomes. We report clinical and radiological outcomes of conservative treatment of volar plate avulsion fractures of the PIP joint and risk factors for failure of conservative treatment. Read More

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September 2020

Outcome of proximal interphalangeal joint replacement with pyrocarbon implants: a long-term longitudinal follow-up study.

Arch Orthop Trauma Surg 2020 Nov 4;140(11):1847-1857. Epub 2020 Sep 4.

Clinic for Hand Surgery, Rhön Medical Center, Campus Bad Neustadt, Von Guttenberg-Straße 11, 97616, Bad Neustadt/Saale, Germany.

Introduction: The aim of this study was to compare the short-, mid-, and long-term results of pyrocarbon PIPJ arthroplasty.

Materials And Methods: Twenty-seven consecutive patients (9 males, 18 females) had arthroplasty for 32 pyrocarbon PIPJ prostheses. Two patients (two joints) were lost for follow-up. Read More

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November 2020

Complex Focal Pain Syndrome: An Unusual Variant of Complex Regional Pain Syndrome.

Cureus 2020 Aug 1;12(8):e9510. Epub 2020 Aug 1.

Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch, Galveston, USA.

Complex regional pain syndrome (CRPS) is a chronic neuropathic pain condition that is often overlooked by clinicians and typically occurs within an entire limb. There is considerable clinical variability in presentation among patients with CRPS. We report a case of extremely focal CRPS localized to the left small finger (LSF) following crush injury. Read More

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Open Reduction of Neglected Dislocations of the Proximal Interphalangeal Joint.

J Hand Surg Am 2020 Oct 28;45(10):991.e1-991.e7. Epub 2020 Aug 28.

Department of Orthopaedic Surgery, Gold Coast University Hospital, Southport, Queensland; School of Medicine, Griffith University, Gold Coast, Australia.

Chronic unreduced dislocations of the proximal interphalangeal joint are uncommon and management principles for these injuries have not been defined. The dislocation can be volar or dorsal and closed reduction is rarely successful owing to soft tissue contractures. We describe an extensile midaxial approach to the proximal interphalangeal joint for release of contractures, open reduction, and repair of critical structures. Read More

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October 2020

Cerclage Wire Fixation for Fracture-Dislocations of the Proximal Interphalangeal Joint.

Bull Hosp Jt Dis (2013) 2020 Sep;78(3):180-186

Proximal interphalangeal (PIP) joint fracture dislocations are challenging injuries to treat. Multiple and varied treatments have been proposed. We present the use of cerclage wiring as a helpful technique in these challenging scenarios. Read More

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September 2020

Surgical Management of Monoarticular Rheumatoid Arthritis of the Fifth Metatarsophalangeal Joint.

Orthop Surg 2020 Dec 9;12(6):1597-1604. Epub 2020 Aug 9.

Department of Orthopedics, The First Hospital of China Medical University, Shenyang, China.

Objective: To investigate the clinical and radiological outcomes in patients with monoarticular rheumatoid arthritis of the fifth metatarsophalangeal joint after Weil osteotomy.

Methods: From July 2011 to September 2015, 18 feet of 16 rheumatoid arthritis patients who underwent Weil osteotomy of the fifth metatarsal toe with a mean age at the time of surgery of 48.8 ± 7. Read More

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December 2020

Complex Irreducible Dorsal Dislocation of Thumb Interphalangeal Joint: Controversies and Consensus in Management.

Authors:
Leon Alexander

J Hand Surg Asian Pac Vol 2020 Sep;25(3):378-383

Department of Plastic & Reconstructive Surgery, Universal Hospital, Abu Dhabi, UAE.

Dislocations of thumb interphalangeal (IP) joint are rare injuries due to inherent stability of the joint. This report presents a case of complex irreducible dorsal IP joint dislocation of thumb due to interposition of four structures - volar plate, sesamoid bone, flexor pollicis longus tendon and digital nerve which is perhaps the only case reported so far in literature where more than three structures have been implicated for this joint irreducibility. The author presents a comparative review of similar case reports previously reported in literature listing the controversies in management and forming a broad consensus in the management of these difficult injuries. Read More

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September 2020

The Importance of Restoring Anatomy of the Proximal Interphalangeal Joint in Dorsal Fracture Dislocations.

J Hand Surg Asian Pac Vol 2020 Sep;25(3):257-266

Department of Hand and Reconstructive Microsurgery, National University Hospital, Singapore.

The proximal interphalangeal joint (PIPJ) is a complex anatomical structure. In managing fracture dislocations about the PIPJ, the aim is to restore a congruent joint that allows for smooth gliding motion. Detailed knowledge of the anatomy and biomechanics of the PIPJ is necessary in managing these injuries with predictable success. Read More

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September 2020

Closed-Reduction Techniques for Glenohumeral-, Patellofemoral-, and Interphalangeal-Joint Dislocations.

J Athl Train 2020 Jul;55(8)

University of Washington School of Medicine, Spokane Teaching Health Center.

Joint dislocations account for a small but important portion of all athletic injuries, with most occurring at the glenohumeral, patellofemoral, and interphalangeal joints. Athletic trainers are responsible for managing acute joint-dislocation injuries, which may include performing closed-reduction techniques when appropriate. To achieve optimal patient outcomes, the clinician should be formally trained and skilled in performing various techniques and familiar with the evidence supporting the selection of each technique. Read More

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