By Julie E. Adams
Comprised completely of scientific circumstances protecting accidents to the proximal interphalangeal (PIP) joint, this concise, sensible casebook will offer orthopedic surgeons and hand surgeons with the easiest real-world suggestions to correctly deal with the multifaceted surgical suggestions for administration of the PIP. every one bankruptcy is a case that opens with a distinct scientific presentation, through an outline of the prognosis, evaluation and administration ideas used to regard it, in addition to the case end result and medical pearls and pitfalls. situations integrated illustrate either operative and non-operative therapy of volar fracture dislocations, dorsal block splinting and pinning, ORIF with screw fixation, volar plate and hemi hamate arthroplasty, PIP joint fusion, and pediatric PIP joint accidents, between others. Pragmatic and reader-friendly, PIP Joint Fracture Dislocations: A scientific Casebook might be an exceptional source for orthopedic surgeons and Hand surgeons faced with either universal and complicated fractures to the PIP joint.
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Comprised completely of scientific circumstances protecting accidents to the proximal interphalangeal (PIP) joint, this concise, functional casebook will offer orthopedic surgeons and hand surgeons with the simplest real-world techniques to correctly deal with the multifaceted surgical thoughts for administration of the PIP.
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Extra resources for PIP Joint Fracture Dislocations: A Clinical Casebook
Fig. 1 Drawing schematic demonstrating conceptually dorsal block pinning. The pin is placed through the head of the proximal phalanx (eccentrically to avoid piercing the extensor apparatus) in a fashion to prevent terminal extension 3 Dorsal Block Pinning 35 Results Several authors have written about this technique with satisfactory results and minimal complications [7–11]. Viegas in 1992 described using dorsal block pinning in three cases of PIPJ fracturedislocation with the fracture fragment involving 35–75 % of the articular surface.
Hamer DW, Quinton DN. Dorsal fracture subluxation of the proximal interphalangeal joints treated by extension block splintage. J Hand Surg (Br). 1992;17:586–90. 1016/S0266-7681(05)80249-9. 10. Arora R, Lutz M, Fritz D, Zimmermann R, Gabl M, Pechlaner S. Dorsolateral dislocation of the proximal interphalangeal joint: closed reduction and early active motion or static splinting; a retrospective study. Arch Orthop Trauma Surg. 2004;124:486–8. 1007/s00402-004-0707-0. 11. Newington DP, Davis TR, Barton NJ.
1989;14(2): 183–93. 5. Vitale MA, White NJ, Strauch RJ. A percutaneous technique to treat unstable dorsal fracture-dislocations of the proximal interphalangeal joint. J Hand Surg Am. 2011;36(9):1453–9. 022. 6. McElfresh EC, Dobyns JH, O’Brien ET. Management of fracturedislocation of the proximal interphalangeal joints by extension-block splinting. J Bone Joint Surg Am. 1972;54(8):1705–11. 7. Sugawa I, Otani K, Kobayashi A. Treatment of fracture dislocation PIPjoint by kirschner wire extension block method.
PIP Joint Fracture Dislocations: A Clinical Casebook by Julie E. Adams