Can the result of untreated Proximal Interphalangeal fracture-dislocation be satisfied?

Abstract

Objectives: The aim of this study is to examine the clinical outcomes of untreated proximal interphalangeal (PIP) fracture-dislocations, a condition known to often result in poor outcomes even if treated appropriately. Methods: A retrocpective analysis was conducted on a 22-year-old male patient presenting with an untreated fracture of the fourth finger of his dominant hand. The patient sustained the injury at the age 16, and while initial X-ray images were unavailable, subsequent imaging revealed features consistent with a proximal interphalangeal joint fracture-dislocation. The patient initially received a finger splint following the trauma but susbsequently discontinued its use and failed to attend follow-up controls. Results: Radiographic evaluation revealed deformity at the base of the middle phalanx, characterized by slight dorsal subluxation and dorsal osteophyte formation. However, physical examination revealed no discernible cosmetic or functional deficits, no signs of joint instability, and the range of motion was found to be complete and painless. Conclusion: Despite the absence of conventional tratment, our patient exhibited notably positive clinical outcomes. However, we emphasize the importance of caution against leaving proximal interphalangeal fracture-dislocations untreated, given the lack of definitive evidence supporting this approach.