644 results match your criteria Dislocation Interphalangeal


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

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

J Int Med Res 2019 Feb 12:300060519826821. 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
February 2019

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
4 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
13 Reads

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

J Hand Surg Am 2018 Nov 9. 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
November 2018
15 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
6 Reads

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

Oper Orthop Traumatol 2018 Sep 14. 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
September 2018
3 Reads

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

J Hand Surg Am 2018 Sep;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
24 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

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
13 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
4 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
10 Reads

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

Hand (N Y) 2018 Jul 28:1558944718790063. Epub 2018 Jul 28.

1 Duke University Medical Center, Durham, NC, USA.

Background: 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
July 2018
4 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
14 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) 2018 Jul 1:1558944718788644. Epub 2018 Jul 1.

1 Houston Methodist Hospital, TX, USA.

Background: 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
July 2018
7 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
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http://dx.doi.org/10.1097/GOX.0000000000001729DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999442PMC
May 2018
7 Reads

Accuracy and Reliability of Radiographic Estimation of Volar Lip Fragment Size in PIP Dorsal Fracture-Dislocations.

Hand (N Y) 2018 Jun 1:1558944718777831. Epub 2018 Jun 1.

3 The Roosevelt Hand to Shoulder Center, New York, NY, USA.

Background: A cadaveric study was performed to evaluate the accuracy and reliability of radiographic estimation of the volar lip fragment size in proximal interphalangeal joint fracture-dislocations.

Methods: Middle phalangeal base volar lip fractures of varying size and morphology were simulated in 18 digits. Radiographs and digital photographs of the middle phalangeal joint surface were obtained pre- and postinjury. Read More

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http://dx.doi.org/10.1177/1558944718777831DOI Listing
June 2018
34 Reads

Dorsal Plating for Intra-articular Middle Phalangeal Base Fractures With Volar Instability.

Hand (N Y) 2018 May 1:1558944718777868. Epub 2018 May 1.

1 Northwell Health, New Hyde Park, NY, USA.

Background: Intra-articular middle phalangeal base fractures with volar instability are rare injuries with scant literature on optimal management. Our purpose is to describe our method of dorsal plating and report postoperative outcomes.

Methods: This study is a retrospective case review of 5 patients with intra-articular middle phalangeal base fractures with volar proximal interphalangeal joint instability, measuring subjective, clinical, and radiographic outcomes. Read More

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http://dx.doi.org/10.1177/1558944718777868DOI Listing
May 2018
4 Reads

Dynamic "Homemade" Digital External Fixators for Proximal Interphalangeal Joint Injuries.

J Hand Surg Am 2018 Sep 8;43(9):875.e1-875.e12. Epub 2018 May 8.

Division of Hand, Upper Extremity, and Microvascular Surgery, Department of Orthopaedic Surgery, University of California, San Diego (UCSD), San Diego, CA. Electronic address:

The purpose of this article is to discuss the indications and surgical techniques of "homemade" digital external fixators constructed from easily available and inexpensive hardware (K-wires and dental rubber bands). Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.03.027DOI Listing
September 2018
1 Read

[Minimally invasive correction of lesser toe deformities and treatment of metatarsalgia].

Authors:
M Thomas M Jordan

Oper Orthop Traumatol 2018 Jun 8;30(3):171-183. Epub 2018 May 8.

Abteilung für Fuß- und Sprunggelenkschirurgie, Hessingpark-Clinic GmbH, Hessingstraße 17, 86199, Augsburg, Deutschland.

Objective: Atraumatic and joint-sparing procedure for the correction of lesser toe deformities by using a linear or perpendicular osteotomy of the proximal and/or middle phalanx of the lesser toes with additional capsulotomies or tendon dissection for soft tissue realignment. Metatarsalgia is addressed via an extracapsular distal metaphyseal crescentic-like metatarsal osteotomy.

Indications: Symptomatic lesser toe deformities, painful pseudoexostosis, metatarsalgia, symptomatic metatarsal malalignment, metatarsus adductus. Read More

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http://dx.doi.org/10.1007/s00064-018-0548-6DOI Listing
June 2018
3 Reads

Hemi-Hamate Autograft Arthroplasty for the Proximal Interphalangeal Joint Revisited: A New Surgical Approach.

J Hand Surg Asian Pac Vol 2018 Jun;23(2):297-301

‡ Department of Plastic Surgery, Erasmus MC, Rotterdam, The Netherlands.

The hemi-hamate arthroplasty for proximal interphalangeal joint (PIPJ) dorsal fracture dislocations relies on complete dislocation of the joint using the 'shotgun' approach which provides excellent exposure but damages the delicate intrinsic joint stabilisers. We present a new approach to the PIPJ when performing the hemi-hamate arthroplasty. The volar surgical approach involves freeing up the whole tendon sheath-periosteal unit as a single layer, and retracting this to one side. Read More

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http://dx.doi.org/10.1142/S2424835518710029DOI Listing
June 2018
25 Reads

Management of Proximal Interphalangeal Joint Fracture Dislocations.

Hand Clin 2018 05;34(2):149-165

Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, 330 Brookline Avenue-Stoneman 10, Boston, MA 02215, USA. Electronic address:

Fracture dislocations of the proximal interphalangeal (PIP) joint of the finger are often caused by axial load applied to a flexed joint. The most common injury pattern is a dorsal fracture dislocation with a volar lip fracture of the middle phalanx. Damage to the soft-tissue stabilizers of the PIP joint contributes to the deformity seen with these fracture patterns. Read More

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http://dx.doi.org/10.1016/j.hcl.2017.12.005DOI Listing
May 2018
7 Reads

Treating Proximal Interphalangeal Joint Dislocations.

Hand Clin 2018 05;34(2):139-148

Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago Hospitals, 5841 South Maryland Avenue, Room P-211, MC 3079, Chicago, IL 60637, USA. Electronic address:

Proximal interphalangeal (PIP) joint dislocation a common injury. Usually, concentric stable reduction can be achieved with closed reduction. Occasionally, PIP joint dislocations are irreducible and open reduction is necessary. Read More

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http://dx.doi.org/10.1016/j.hcl.2017.12.004DOI Listing
May 2018
5 Reads

Treatment of dorsal fracture-dislocations of the proximal interphalangeal joint using the shotgun approach.

J Hand Surg Eur Vol 2018 Jun 28;43(5):499-505. Epub 2018 Mar 28.

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

This study assessed the outcome of open reduction and internal fixation of proximal interphalangeal joint fracture-dislocations through a shotgun approach, while keeping hemi-hamate arthroplasty as a back-up plan. After using the shotgun approach, fixation was carried out when the anterior fragment was large enough to accept two 1.5 mm screws. Read More

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http://dx.doi.org/10.1177/1753193418766274DOI Listing
June 2018
12 Reads

Fracture-dislocation of the proximal interphalangeal joint of the long fingers: Report of an unusual case requiring open surgery.

Hand Surg Rehabil 2018 Jun 21;37(3):191-194. Epub 2018 Mar 21.

SOS mains, hôpital Privé Dijon Bourgogne, 22, avenue François-Giroud, 21000 Fontaine-lDijon, FranceFontaine-l.

Dorsal fracture-dislocations of the proximal interphalangeal (PIP) joint of the long fingers are in most cases unstable. They require surgery, whose primary aim is to restore and maintain articular congruency. While numerous techniques exist to treat these injuries, none have been shown to be superior to any of the others in terms of outcomes and complications. Read More

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http://dx.doi.org/10.1016/j.hansur.2018.01.005DOI Listing
June 2018
8 Reads

Difficulties in identifying the bacterial species from the genus Clostridium in a case of injury-related osteitis.

Folia Microbiol (Praha) 2018 Sep 9;63(5):533-536. Epub 2018 Mar 9.

Chair and Department of Medical Microbiology, Medical University of Warsaw, Chalubinskiego 5 Str, 02-004, Warsaw, Poland.

Most Clostridium species are part of saprophytic microflora in humans and animals; however, some are well-known human pathogens. We presented the challenges in identifying the Clostridium species isolated from a patient with an infected open dislocation of the proximal interphalangeal joint of the fourth digit of the right hand. The clinical materials were intraoperative samples collected from a patient diagnosed with an injury-related infection, with soft tissue loss and tendon sheath involvement. Read More

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http://link.springer.com/10.1007/s12223-018-0597-0
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http://dx.doi.org/10.1007/s12223-018-0597-0DOI Listing
September 2018
6 Reads

Results of the Volar Approach in Proximal Interphalangeal Joint Arthroplasty.

J Hand Surg Asian Pac Vol 2018 Mar;23(1):26-32

‡ Departments of Surgery, Mayo Clinic, Scottsdale, AZ, USA.

Background: Most hand surgeons use a dorsal approach for proximal interphalangeal (PIP) joint implant arthroplasty. However, a volar approach offers the advantage of no disturbance to the extensor mechanism, thus allowing early initiation of active range of motion. We examined our results in patients who underwent PIP joint arthroplasty via a volar approach. Read More

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http://www.worldscientific.com/doi/abs/10.1142/S242483551850
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http://dx.doi.org/10.1142/S2424835518500042DOI Listing
March 2018
17 Reads

Irreducible Volar Rotatory Subluxation of the Proximal Interphalangeal Joint of the Finger.

J Hand Surg Asian Pac Vol 2018 Mar;23(1):111-115

† Department of Orthopaedic Surgery, Osaka General Hospital of West Japan Railway Company, Osaka, Japan.

We describe 4 cases of irreducible volar rotatory subluxation of the proximal interphalangeal (PIP) joint of the finger that required open reduction. All of the patients had radiographically proven (in lateral-view radiographs) volar rotatory subluxation of the PIP joint, without fracture. The causes of irreducibility were interposition of the lateral band about the condyle of the middle phalanx in 2 cases, interposition of the collateral ligament in 1 case, and scarring of the injured central slip in 1 case. Read More

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http://dx.doi.org/10.1142/S2424835518720013DOI Listing
March 2018
1 Read

Biomechanical evaluation of pyrocarbon proximal interphalangeal joint arthroplasty: An in-vitro analysis.

Clin Biomech (Bristol, Avon) 2018 Feb 3;52:72-78. Epub 2018 Feb 3.

Orthopaedics Department, Coimbra University Hospital, Portugal.

Background: Pyrocarbon proximal interphalangeal joint arthroplasty provided patients with excellent pain relief and joint motion, however, overall implant complications have been very variable, with some good outcomes at short-medium-term follow-up and some bad outcomes at longer-term follow-up. Implant loosening with migration, dislocation and implant fracture were the main reported clinical complications. The aim of the present work was to test the hypothesis that the magnitude proximal interphalangeal joint cyclic loads in daily hand functions generates stress-strain behaviour which may be associated with a risk of pyrocarbon component loosening in the long-term. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2018.01.005DOI Listing
February 2018
1 Read

Modified Suzuki Technique With Cable-Ties for Unstable Fracture-Dislocations of the Proximal Interphalangeal Joint.

Tech Hand Up Extrem Surg 2018 03;22(1):34-35

Hand Surgery Deparment, Private Clinique des Diaconesses, Strasbourg, France.

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http://dx.doi.org/10.1097/BTH.0000000000000182DOI Listing
March 2018
2 Reads

Revision with suture-tape augmentation after failed collateral ligament reconstruction for chronic interphalangeal instability of the hallux.

Foot Ankle Surg 2017 Dec 13;23(4):e31-e34. Epub 2017 Jul 13.

Department of Orthopaedic Surgery, School of Medicine, University of California, Los Angeles, CA, USA.

Chronic varus instability or recurrent subluxation following isolated interphalangeal dislocation of the hallux is a rare injury. No consensus has been reached regarding the best joint-salvage procedure for patients with the failed collateral ligament reconstruction using tendon graft. We report a case who achieved satisfactory clinical outcome through a modified surgical procedure (revision collateral ligament reconstruction augmented with suture-tape). Read More

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http://dx.doi.org/10.1016/j.fas.2017.07.002DOI Listing
December 2017
5 Reads

Mid-Term Outcomes After Open Reduction Internal Fixation of Proximal Interphalangeal Joint Dorsal Fracture-Dislocations Through a Volar, Shotgun Approach and a Review of the Literature.

Open Orthop J 2017 30;11:1073-1080. Epub 2017 Sep 30.

Assistant Dean for Medical Student Research Assistant Professor Department of Orthopaedic Surgery University of Pittsburgh Medical Center Pittsburgh, PA, USA.

Background: Proximal interphalangeal (PIP) fracture dislocations remain a complex injury pattern to treat. There are several treatment methods available aimed to restore stability, preserve range of motion, and reconstitute the articular surface. This study looked at the mid-term clinical and radiographic results of open reduction internal fixation through a shotgun approach of comminuted PIP fracture dislocations. Read More

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http://dx.doi.org/10.2174/1874325001711011073DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5676008PMC
September 2017
13 Reads

Treatment of dorsal fracture-dislocation of the proximal interphalangeal joint using the Ligamentotaxor device: clinical and radiographic preliminary results.

Acta Biomed 2017 10 18;88(4S):90-95. Epub 2017 Oct 18.

.

Background And Aim Of The Work: Fracture-dislocations of the proximal interphalangeal joint are complex injuries, often difficult to treat. Several treatment options have been described. Among them dynamic external fixation proved to be a safe technique leading to good results in many authors experience. Read More

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http://dx.doi.org/10.23750/abm.v88i4 -S.6799DOI Listing
October 2017
16 Reads

Internal Fixation of Displaced Intra-articular Fractures of the Hallux Through a Dorsomedial Approach: A Technical Tip.

Foot Ankle Spec 2018 Feb 27;11(1):77-81. Epub 2017 Oct 27.

Foot and Ankle Clinic, Department of Orthopedic Surgery, Hospital do Servidor Público Municipal de São Paulo, São Paulo, SP, Brazil (DRCN, FAD, ACM, FCPF).

Phalangeal fractures of the toes represent common injuries of the forefoot. In the hallux, most fractures occur at the distal phalanx and frequently result from a direct crushing type of injury. Intra-articular fractures of the hallux are usually treated nonoperatively, except when the fragments are displaced and the joint is incongruent. Read More

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http://dx.doi.org/10.1177/1938640017735889DOI Listing
February 2018
17 Reads

The Role of Dynamic Ultrasound in the Immediate Conservative Treatment of Volar Plate Injuries of the PIP Joint: A Series of 78 Patients.

Plast Surg (Oakv) 2017 Aug 15;25(3):151-156. Epub 2017 Sep 15.

Department of Hand Surgery, INSELSPITAL Bern, University of Bern, Bern, Switzerland.

Introduction: The management of volar plate avulsion fractures in the context of a stable joint and a bony fragment of less than 30% has traditionally been conservative. This study was performed to assess volar plate healing with high-resolution ultrasound in order to provide early full mobilization.

Material And Methods: Between January 2012 and December 2013, 78 patients with volar plate injuries of the proximal interphalangeal (PIP) joints (42 distortions and 36 dislocations) were treated conservatively in our department for volar plate avulsion fracture associated with stable joint and bony fragment inferior to 30% of the intra-articular surface assessed both by radiography and ultrasound. Read More

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http://dx.doi.org/10.1177/2292550317716122DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5626207PMC
August 2017
46 Reads

Radiographic Shape of Foot With Second Metatarsophalangeal Joint Dislocation Associated With Hallux Valgus.

Foot Ankle Int 2017 Dec 21;38(12):1374-1379. Epub 2017 Sep 21.

5 Department of Orthopedics Surgery, Eiju Hospital, Taito-ku, Tokyo, Japan.

Background: Second metatarsophalangeal (MTP) joint dislocation is associated with hallux valgus, and the treatment of complete dislocation can be difficult. The purpose of this study was to radiographically clarify the characteristic foot shape in the presence of second MTP joint dislocation.

Methods: Weight-bearing foot radiographs of the 268 patients (358 feet) with hallux valgus were examined. Read More

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http://dx.doi.org/10.1177/1071100717728579DOI Listing
December 2017
29 Reads

[Palmar dislocation of the proximal interphalangeal joint and traumatic boutonnière deformity].

Unfallchirurg 2017 Oct;120(10):873-884

Plastisch- und Handchirurgische Klinik, Universitätsklinikum Erlangen, Krankenhausstraße 12, 91054, Erlangen, Deutschland.

Injury to the central slip of the extensor tendon may occur with open and also with closed injuries, such as volar dislocation of the proximal interphalangeal (PIP) joint. For adequate treatment, it is necessary to identify all injured structures. Without appropriate primary management, the patient is likely to develop a subacute to chronic posttraumatic boutonnière deformity. Read More

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http://link.springer.com/10.1007/s00113-017-0404-4
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http://dx.doi.org/10.1007/s00113-017-0404-4DOI Listing
October 2017
7 Reads

[Dislocation of the PIP-Joint - Treatment of a common (ball)sports injury].

Sportverletz Sportschaden 2017 Sep 26;31(3):154-159. Epub 2017 Jul 26.

 Fractures or fracture dislocations of the proximal interphalangeal joint often occur during sports or accidents. Dislocations of the PIP-joint are the most common ligamentary injuries of the hand. As this kind of injury is so frequent, hand surgeons and other physicians should be aware of the correct treatment. Read More

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http://dx.doi.org/10.1055/s-0043-115191DOI Listing
September 2017
2 Reads

[Dislocation of the proximal hallux interphalangeal joint with interposition of a sesamoid bone: a blibliographic review].

Acta Ortop Mex 2017 Jan-Feb;31(1):35-39

Departamento de Cirugía Ortopédica y Traumatología, Hospital Clínico San Carlos, Madrid. España.

The irreducible dislocation of the hallux interphalangeal joint is an infrequent condition and only a few cases have been described. It presents as dorsal dislocation with interposition of the sesamoid bone, which has the possibility of being radiologically undetectable. We present the case of a 29 year-old patient who, after a sports trauma sustained a hallux interphalangeal dislocation that went unnoticed for eight days. Read More

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July 2017
14 Reads

The Versatile Hook Plate in Avulsion Fractures of the Hand.

Ann Plast Surg 2017 Sep;79(3):270-274

From the *Department of Plastic and Hand Surgery, Queen Elizabeth Hospital, Birmingham; and †Department of Orthopaedics, Royal South Hants Hospital, Southampton, United Kingdom.

Avulsion fractures can pose technical difficulties for surgical fixation. The fragments are often small and around finger joints with access being difficult due to attachment of ligaments or tendons. Traditionally, these have been treated using K wires, lag screws, or pullout sutures. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001119DOI Listing
September 2017
17 Reads

Recurrent Dislocation of the Proximal Interphalangeal Joint of the Finger: A Rare Issue in Hand Surgery.

Arch Bone Jt Surg 2017 Mar;5(2):121-124

Department of Hand and Microsurgery, Besat Hospital, Hamedan University of Medical Sciences, Hamedan, Iran.

Recurrent dislocation is not common in small joints. This report presents a recurrent dislocation of the proximal interphalangeal joint of the ring finger in a 23-years-old man. Recurrent dislocation was addressed successfully by repairing the avulsed volar plate to the base of the middle phalanx, followed by 6 weeks of splint immobilization. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5443970PMC
March 2017
4 Reads

Augmented hamate replacement arthroplasty for fracture-dislocations of the proximal interphalangeal joints in 12 patients.

J Hand Surg Eur Vol 2017 Oct 8;42(8):799-802. Epub 2017 May 8.

Paul Brand Centre for Hand Surgery & Peripheral Nerve Surgery, Christian Medical College & Hospital, Vellore, India.

We report clinical outcomes in 12 patients with hemi-hamate replacement arthroplasty combined with volar plate arthroplasty. The volar plate was reattached using trans-osseous sutures to reconstruct the ligament-box complex after hamate grafting to augment the stability of the proximal interphalangeal joint. Ten patients had improved joint movement from a mean of 14° before surgery to a mean of 77° at a minimum follow-up of 2 years. Read More

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http://journals.sagepub.com/doi/10.1177/1753193417707381
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http://dx.doi.org/10.1177/1753193417707381DOI Listing
October 2017
15 Reads

The Central Slip Fracture: Results of Operative Treatment of Volar Fracture Subluxations/Dislocations of the Proximal Interphalangeal Joint.

J Hand Surg Am 2017 Jul 3;42(7):572.e1-572.e6. Epub 2017 May 3.

Department of Orthopaedic Surgery, Washington University School of Medicine/Barnes-Jewish Hospital, St. Louis, MO.

Purpose: Fractures of the base of the middle phalanx are particularly challenging. Dorsal fracture-subluxations/dislocations of the proximal interphalangeal (PIP) joint are relatively common, but the volar fracture-subluxation/dislocation, the so-called "central slip fracture," is quite rare. The current study presents our experience with surgically treated patients with central slip fracture subluxation/dislocation with a minimum of 1 year follow-up. Read More

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http://dx.doi.org/10.1016/j.jhsa.2017.03.030DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5510930PMC
July 2017
27 Reads

Volar fracture-dislocation of the proximal interphalangeal joint: Four cases at an average follow-up of 3 years.

Hand Surg Rehabil 2017 Jun 14;36(3):222-225. Epub 2017 Apr 14.

Unité de chirurgie de la main, services de chirurgie orthopédique et traumatologique 1 et 2, hôpital Trousseau, CHU de Tours, 37044 Tours cedex, France. Electronic address:

Volar dislocation of the proximal interphalangeal joint associated with dorsal fracture of the base of the middle phalanx is a rare injury, with only 38 cases published. We report here four such cases: three treated surgically and one conservatively. Patients had a mean age of 19. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24681229173006
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http://dx.doi.org/10.1016/j.hansur.2017.02.003DOI Listing
June 2017
10 Reads

Mallet Fractures of the Thumb Compared With Mallet Fractures of the Fingers.

Hand (N Y) 2017 05 6;12(3):277-282. Epub 2016 Oct 6.

1 Massachusetts General Hospital, Boston, MA, USA.

Background: The purpose of this study was to look for differences in mechanism, radiographic findings, and treatment between mallet fractures of the thumb and mallet fractures of the index through small fingers.

Methods: This retrospective study included 24 mallet fractures of the thumb and 392 mallet fractures of other digits. We compared demographics, injury factors (side, dominant hand, time between injury and first visit, and injury mechanism), subluxation, fragment size, treatment, and time from injury to final evaluation between the 2 groups. Read More

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http://dx.doi.org/10.1177/1558944716672192DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5480675PMC
May 2017
12 Reads

Multiple Open Dislocations of the Lesser Interphalangeal Joints.

J Am Podiatr Med Assoc 2017 Jan;107(1):95-98

We report on the rare case of multiple open interphalangeal dislocations. This uncommon pathologic condition results from dorsiflexion and axial loading of the digit. In the present patient, closed reduction was not possible. Read More

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http://dx.doi.org/10.7547/15-192DOI Listing
January 2017

Complex dorsal dislocation of the distal interphalangeal joint: Perspectives on management.

Indian J Plast Surg 2016 Sep-Dec;49(3):403-405

Department of Plastic, Hand, Microsurgery and Burns, Ganga Hospital, Coimbatore, Tamil Nadu, India.

Distal interphalangeal joint dislocations are only rarely complex and irreducible. We present a case and illustrate our approach to management of this problem. Open reduction is necessary, and preferred approach is volar. Read More

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http://dx.doi.org/10.4103/0970-0358.197251DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5288918PMC
February 2017
4 Reads

Biomechanics of Internal Fixation Modalities for Middle Phalangeal Base Fracture Dislocation.

J Hand Surg Asian Pac Vol 2017 Mar;22(1):14-17

* Department of Hand & Reconstructive Microsurgery, National University Health System, Singapore.

Background: Internal fixation modalities of unstable (>50 percent articular involvement) middle phalangeal volar lip fracture-dislocations include interfragmentary screw and volar buttress plating. This study investigates the mechanical properties (yield strength, ultimate tensile strength, and stiffness) of interfragmentary screw (IS), simple buttress plating (BP) and buttress plating with subchondral screw (BP+S).

Methods: Fifteen cadaveric digits (5 index, 5 middle, and 5 ring) were prepared by excising its skin envelope and flexor tendons while preserving the structures around the proximal interphalangeal joint. Read More

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http://dx.doi.org/10.1142/S0218810417500022DOI Listing
March 2017
5 Reads

Ultrasound-guided forearm nerve blocks in managing hand and finger injuries.

Intern Emerg Med 2017 Apr 10;12(3):381-385. Epub 2017 Feb 10.

Department of Emergency Medicine, University of Arizona, PO Box 245057, Tucson, AZ, 85724-5057, USA.

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http://dx.doi.org/10.1007/s11739-017-1635-7DOI Listing
April 2017
7 Reads

Volar, Dorsal, and Lateral Locking Plate Fixation for Pilon Fractures.

Authors:
Mark Henry

Tech Hand Up Extrem Surg 2017 Mar;21(1):22-27

Hand and Wrist Center of Houston, Houston, TX.

The more common dorsal fracture subluxations at the base of the middle phalanx have an intact dorsal buttress of articular surface in continuity with the shaft. Capitalizing on this foundation, various fixation methods have met with relatively equivalent success including Kirschner wires, screws only, nonlocking plate and screws, and external fixation. Pilon fractures are complete articular fractures, where the comminuted articular fragments lack any structural connection to the more distal shaft of the middle phalanx, and have largely relied upon external fixation traction systems. Read More

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http://Insights.ovid.com/crossref?an=00130911-201703000-0000
Publisher Site
http://dx.doi.org/10.1097/BTH.0000000000000148DOI Listing
March 2017
6 Reads