Dislocation Of Proximal Interphalangeal Joint Research Articles

A closed dorsolateral dislocation of PIP joint of the fourth toe-a case report and review of literature

Interphalangeal (IP) joint dislocations of the toes are uncommon lesions. We present here a case of closed dorsolateral dislocation of proximal interphalangeal (PIP) joint of the fourth toe. Closed reduction and buddy strapping have been done with middle toe for two weeks under digital block. There was painless full range of movement after 2 weeks. We propose that attempt of closed reduction must be given adequately under anesthesia before proceeding for open reduction. Keywords: Dislocation; Interphalangeal joint; Toes Internet Journal of Medical Update Vol. 4 (1) 2009: pp. 54-55

Chronic dislocation of proximal interphalangeal joint with mallet finger: A case report

We report a case of chronic dislocation of proximal interphalangeal joint with mallet finger.

Upper Extremity Injuries in the National Football League

Background Very little has been published regarding the incidence of and duration of time lost after hand injuries in professional American football players. Hypotheses (1) Hand, first ray, and finger injuries in professional American football players represent a common cause of missed time from practice and game participation. (2) The effect of upper extremity injuries differs as a function of the anatomic site involved, injury type, and athlete's position. Study Design Descriptive epidemiologic study. Methods A retrospective review of all documented injuries to the hand, first ray, and fingers sustained by American football players in the National Football League over a 10-year period (1996–2005) was performed using the League's injury surveillance database. The data were analyzed from multiple perspectives, with emphasis on the type of injury, athlete position, and activity at the time of injury. Results A total of 1385 injuries occurred to the hand, first ray, and fingers over the 10 seasons studied. Of these injuries, 48% involved the fingers, 30% involved the first ray, and 22% involved the hand, with game injuries more common than practice injuries at each location. Metacarpal fractures and proximal interphalangeal joint dislocations were the 2 most common injuries. Offensive and defensive linemen were the most likely to sustain a hand injury; 80% of hand injuries were metacarpal fractures. The most common injuries to the first ray were fractures (48%) and sprains (36%), which occurred most often in athletes playing a defensive secondary position. Finger injuries were most commonly dislocations at the level of the proximal interphalangeal joint, typically involving the ulnar 2 digits. Finger injuries were most common in wide receivers and defensive secondary players. The act of tackling produced the most injuries (28%). Conclusion Upper extremity trauma, especially injury to the hand, first ray, and fingers, is a significant source of morbidity for professional football players. The results of this study may be used to implement preventive measures to help minimize these injuries.

Les lésions articulaires de la main du rugbyman

All the phases of the game can lay the hand of the rugby player to injurys. Joints are in particular often wounded and the triteness of this traumatism must not hide its potential gravity, which can lead to handicap compromising sports future. Rugby expose to high level energy crash leading to serious injuries as palmar thumb metacarpo phalangeal joint or long fingers proximal interphalangeal joint dislocation, usually unknown because uncommon compare with other sport activities. Considering relative bad results of secondary surgery, knowledge of theses particular trauma is mandatory to allow early adapted treatment and optimal functional recovery.

New operative technique in the treatment of unstable dorsal fracture–dislocation of Proximal Interphalangeal Joint of finger

New operative technique in the treatment of unstable dorsal fracture–dislocation of Proximal Interphalangeal Joint of finger

The treatment of an osteochondral shearing fracture-dislocation of the head of the proximal phalanx: A case report

We report the morphology and treatment of a proximal interphalangeal joint dislocation resulting in an injury to the articular surface of the proximal phalanx and avulsion of the radial collateral ligament from its proximal origin. A large osteochondral fragment was sheared from the radial articular surface of the proximal phalanx and remained displaced volarly after reduction of the joint. Plain radiographs and 2- and 3-dimensional computed tomography images were used to evaluate this unusual injury before surgery. Open reduction and internal fixation using a small K-wire and figure-of-eight wire technique restored the articular surface of the head of the proximal phalanx and gave a satisfactory functional result.

Operative repair of a chronic, ulnar proximal interphalangeal dislocation of the little finger with an excellent functional result

Chronic dislocations of the proximal interphalangeal joint are not common. The instability and physical impairment, however, can render the digit or hand quite dysfunctional. A case report of the reconstruction of a nine-year chronic proximal interphalangeal joint dislocation of the left little finger is presented. The functional recovery is described. A literature review of the treatment of chronic dislocations of the proximal interphalangeal joint is also discussed.

Dorsal fracture dislocations of the proximal interphalangeal joint: surgical complications and long-term results.

This retrospective study assessed the short-term complications and long-term subjective and objective results of operative treatment of acute unstable dorsal proximal interphalangeal joint dislocations treated by 2 methods: open reduction internal fixation and volar plate arthroplasty. Fifty-six patients were included in this study. Twenty-three (41%) were treated by volar plate arthroplasty and 33 (59%) were treated by open reduction internal fixation. Postoperative complications occurred in 10 patients (18%). The most frequent complication was redislocation, which occurred in 6 patients (volar plate arthroplasty, 3 patients; open reduction internal fixation, 3 patients) and necessitated salvage surgery in 4 of these 6 cases. In all 6 cases, the fracture of the base of the middle phalanx involved more than 50% of the articular surface. Twenty-four patients (43%) returned for long-term evaluation at an average follow-up period of 46 months (range, 13-125 months). Twenty of these 24 patients (83%) reported little or no pain despite a high incidence (96%) of posttraumatic degenerative changes. Eighteen (75%) reported no difficulty with work activities; 92% continued leisure activities with little or no modification. Proximal interphalangeal joint flexion contractures and extension lag at the distal interphalangeal joint were common. These data indicate that if reduction is maintained, patients may expect few functional deficits despite radiographic degenerative changes and loss of mobility.

Serious, Often Subtle, Finger Injuries

Three common finger injuries—proximal interphalangeal (PIP) injuries, mallet finger, and skier's thumb—present unique diagnostic and treatment challenges. Careful history-taking and physical examination are, of course, essential for diagnosing these injuries, but appropriate x-rays are often pivotal. For PIP joint dislocations and fracture-dislocations, extension block splinting is often appropriate, but surgery may be required for an unstable injury. Most mallet finger injuries can be treated with a Stack splint, but functional deformity may necessitate surgery. Skier's thumb can be a bony or ligamentous injury; to avoid fragment displacement, radiographs should be obtained before stressing the joint. Treatment includes a thumb spica cast for a nondisplaced fracture or stable joint, referral for a displaced fracture, and surgery for an unstable joint

Hand Injuries in Football Players.

In brief Football players have a fairly high brief risk of injury to the soft tissues of the hand; among the most common problems are thumb sprains and proximal interphalangeal joint dislocations. Stable ligament injuries can be treated with splints and casts, but more severe sprains may require surgical intervention. Closed tendon injuries must be followed carefully to prevent boutonniere deformity or mallet finger. Athletes with these injuries often can return quickly to play with protective splinting, but more recovery time may be necessary for ball handlers and for players who have injuries that require open reduction.

Pseudodiastrophic dysplasia: A distinct newborn skeletal dysplasia

Pseudodiastrophic dysplasia is a distinct disorder that differs from diastrophic dysplasia on the basis of clinical, radiographic, and chondro-osseous histopathologic findings. In addition to the rhizomelic shortening of the limbs and severe clubfoot deformity, which suggest the diagnosis of diastrophic dysplasia, distinguishing features are elbow and proximal interphalangeal joint dislocations, platyspondyly, and scoliosis, which are observed in infancy. This disorder has been reported previously in three infants, all of whom died in the first year of life. Two of these were sisters, suggesting autosomal recessive inheritance. We report four new patients with this distinct skeletal dysplasia, including two children now older than 4 years of age. In both of these patients neonatal contractures have improved with physical therapy and scoliosis has progressed significantly.