Rehabilitation for proximal phalangeal fractures

Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists
A E FreelandShannon Singletary

Abstract

Proximal phalangeal fracture stability is crucial for the initiation of early and effective exercises designed to recover digital and especially proximal interphalangeal joint motion. Active digital flexion and extension exercises are implemented by synergistic wrist motion. Joint blocking exercises and active tendon gliding exercises in protective blocking splints are instrumental elements of early treatment. Dynamic splinting and serial finger casting are used in recalcitrant, severe, and late presenting cases. Surgical release is a last resort in regaining proximal interphalangeal joint motion. This measure is reserved for a failure of treatment when residual proximal interphalangeal joint contracture is persistent and severe enough to cause serious impairment of digital motion and hand function.

References

Sep 11, 1992·The Journal of Hand Surgery·D AshmeadJ B Jupiter
Apr 1, 1992·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·S W ParsonsJ R Shearer
Jun 1, 1992·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·A Maitra, P Burdett-Smith
Nov 1, 1991·The Journal of Hand Surgery·James A Nunley, P Kloen
May 1, 1991·The Journal of Hand Surgery·S I Shehadi
Aug 1, 1990·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·W M Steel
Mar 1, 1989·The Journal of Hand Surgery·W E Burkhalter
May 1, 1989·The Journal of Hand Surgery·W K PunC Ng
Aug 1, 1988·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·R Savage
Feb 1, 1987·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·D J FordF D Burke
Jun 1, 1987·Clinical Orthopaedics and Related Research·A YoungJ F Iles
Jan 1, 1987·Clinical Orthopaedics and Related Research·F A Reyes, L L Latta
Jan 1, 1987·Clinical Orthopaedics and Related Research·H Hastings
Jan 1, 1987·Clinical Orthopaedics and Related Research·U Büchler, T Fischer
Jan 1, 1987·The Journal of Hand Surgery·A D WidgerowS L Biddulph
Mar 1, 1986·The Journal of Hand Surgery·E J Dabezies, J P Schutte
Feb 1, 1986·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·H N Diwaker, J Stothard
Jan 1, 1984·The Journal of Hand Surgery·A E FreelandA M Chaves
Sep 1, 1984·The Journal of Hand Surgery·M R BelskyL B Lane
Jul 1, 1984·The Journal of Hand Surgery·M H GreeneR L LaMont
Sep 1, 1981·The Journal of Hand Surgery·J E Micks, J B Reswick
Aug 1, 1994·The Journal of Trauma·S H ChenS Noordhoff
May 1, 1993·The Journal of Hand Surgery·R W DuncanE F Meydrech
Apr 2, 1998·The Journal of Hand Surgery·M H GonzalezR F Hall
Apr 18, 1998·The Journal of Bone and Joint Surgery. British Volume·D J Drenth, H J Klasen
Apr 29, 1998·The Journal of Hand Surgery·M B Bickley, D P Hanel
Aug 26, 1998·The Journal of Hand Surgery·J W VaheyH Hastings
Nov 24, 1999·Injury·M LiebergallR Mosheiff
Nov 24, 1999·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·M J SilvaR H Gelberman
Oct 21, 2000·The Journal of Hand Surgery·P J Stern
Nov 16, 2004·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·Ibrahim AkmazMesih Kuşkucu
Jun 12, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·C Lorca-GarcíaA Carballeira

Citations

Oct 30, 2013·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Michael HeldMichael Solomons
Jan 13, 2005·The Journal of Orthopaedic and Sports Physical Therapy·Maureen Hardy
Nov 12, 2013·Hand Clinics·Peyton L Hays, Tamara D Rozental
Jul 26, 2015·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Gwen Weinstock-ZlotnickAviva L Wolff
Jan 13, 2015·Archives of Orthopaedic and Trauma Surgery·Pascale Brei-ThomaTorsten Franz
Jun 10, 2016·Techniques in Hand & Upper Extremity Surgery·Yu-Te Lin, Charles Yuen Yung Loh
Jul 31, 2013·The Journal of Hand Surgery·Shirzad HoushianMohammad Emami-Moghaddam-Tehrani
Jun 8, 2017·The Journal of Hand Surgery, European Volume·Y AtakerE Gudemez
Mar 8, 2013·Orthopedics·Margaret Woon Man FokShew Ping Chow
Apr 9, 2016·The Journal of Hand Surgery, European Volume·P BorbasT Giesen
Sep 9, 2008·Techniques in Hand & Upper Extremity Surgery·Mark H Henry
May 17, 2017·Nature Communications·Nobuhiro MotekiYutaka Kondo
Jul 19, 2011·International Endodontic Journal·M M S SalasF F Demarco
Aug 10, 2010·The Journal of Trauma·Markus FiglMartin Leixnering
Feb 21, 2013·Techniques in Hand & Upper Extremity Surgery·Yu-Te LinFu-Chan Wei
Sep 9, 2006·The Journal of the American Academy of Orthopaedic Surgeons·Christopher J Hogan, James A Nunley
Oct 4, 2008·The Journal of the American Academy of Orthopaedic Surgeons·Mark H Henry
Feb 8, 2019·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Kimberly H McVeighJames C Braxton

Related Concepts

Finger Injuries
Passive Range of Motion Function
Fracture Healing
Recovery of Function
Fracture

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