Dorsal fracture-dislocations of the proximal interphalangeal joint: evaluation of closed reduction and percutaneous Kirschner wire pinning

Hand : Official Journal of the American Association for Hand Surgery
Kristin B de HasethChaitanya S Mudgal

Abstract

The purpose of this study is to evaluate the outcome of closed reduction and percutaneous Kirschner wire pinning in acute dorsal fracture-dislocations of the proximal interphalangeal (PIP) joint. Eight men and one woman were treated with closed reduction and percutaneous Kirschner wire pinning by one orthopaedic surgeon. The ring finger was injured in six patients, the small finger in two patients and the middle finger in one patient. The mean joint surface involvement was 36 % (range, 26-49 %). The Kirschner wires were removed after an average of 28 days (range, 24-37 days). All patients demonstrated a painless, but fusiform, swollen PIP joint after a mean follow-up of 6.5 months. The average flexion of the PIP joint was 106° (range, 80-110), and the average extension of the PIP joint was 4° short of full extension (range, 10 hyperextension-15 flexion contracture). All patients had a concentrically reduced PIP joint with a healed fracture on radiographs. Two patients had radiographic evidence of degenerative changes, but were asymptomatic. One patient developed a superficial pin track infection, which quickly resolved with a short course of antibiotics, and avascular necrosis affecting one of the condyles of the proximal phala...Continue Reading

References

Aug 1, 1992·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·G Durham-Smith, G M McCarten
Mar 1, 1984·The Journal of Bone and Joint Surgery. British Volume·N J Barton
May 1, 1980·The Journal of Hand Surgery·R G Eaton, M M Malerich
Dec 1, 1993·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·R S Twyman, H G David
Jun 10, 1998·The Journal of Hand Surgery·T R Kiefhaber, P J Stern
May 16, 2000·The Journal of Hand Surgery·E Dionysian, R G Eaton
Mar 9, 2002·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·D P NewingtonN J Barton
Mar 26, 2003·Plastic and Reconstructive Surgery·Franck DuteilleGilles Dautel
Sep 26, 2003·The Journal of Hand Surgery·Rafael M M WilliamsPeter J Stern
Feb 1, 2005·The Journal of Hand Surgery·Alejandro BadiaJorge L Orbay
Mar 11, 2005·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·A Aladin, T R C Davis
Jul 2, 2005·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·I GrantS K Y Tham
Nov 19, 2005·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J Y L Lee, L C Teoh
Oct 10, 2006·The Journal of Hand Surgery·Stephen C HamiltonThomas R Kiefhaber
Dec 17, 2008·The Journal of Hand Surgery·John A McAuliffe
Aug 14, 2012·Orthopaedics & Traumatology, Surgery & Research : OTSR·R MaallaH Essadam
Feb 5, 2013·The Journal of the American Academy of Orthopaedic Surgeons·John Elfar, Tobias Mann
Oct 30, 2013·Plastic and Reconstructive Surgery·Joseph S KhouriWarren C Hammert
Nov 12, 2013·The Journal of Hand Surgery·Andrew R TyserKenneth R Means
Dec 18, 2013·Journal of Plastic Surgery and Hand Surgery·Jessica A Nilsson, Hans-Eric Rosberg

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Citations

Oct 21, 2015·The Journal of Hand Surgery·Ronald M Gonzalez, Warren C Hammert
Jul 13, 2018·Hand : Official Journal of the American Association for Hand Surgery·Karan DuaJoshua M Abzug
Jul 11, 2019·Hand : Official Journal of the American Association for Hand Surgery·Kamilcan OflazogluNeal C Chen
Mar 3, 2020·Clinics in Sports Medicine·Erin A Miller, Jeffrey B Friedrich

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