Injuries Around the Proximal Interphalangeal Joint

Ruth En Si Tan; Andre Eu Jin Cheah

doi:10.1016/j.cps.2019.03.005

Injuries Around the Proximal Interphalangeal Joint

Clin Plast Surg. 2019 Jul;46(3):437-449. doi: 10.1016/j.cps.2019.03.005. Epub 2019 Apr 20.

Authors

Ruth En Si Tan¹, Andre Eu Jin Cheah²

Affiliations

¹ Department of Hand and Reconstructive Microsurgery, National University Health System, Level 11, Tower Block, 1E Kent Ridge Road, 119228, Singapore.
² Department of Hand and Reconstructive Microsurgery, National University Health System, Level 11, Tower Block, 1E Kent Ridge Road, 119228, Singapore. Electronic address: andre_cheah@nuhs.edu.sg.

PMID: 31103088
DOI: 10.1016/j.cps.2019.03.005

Abstract

Proximal interphalangeal joint (PIPJ) injuries are common and challenging to treat, involving a spectrum of conditions ranging from isolated ligamentous injuries to severe fracture dislocations. The main goal of treatment is to achieve a congruent, stable joint, which is key to achieving early range of motion and a favorable outcome. Injuries that do not compromise the stability of the joint may be treated nonsurgically, whereas those that render the joint unstable may be managed with one of many surgical strategies available. This article focuses on the current practices of treatment of injuries around the PIPJ.

Keywords: Dislocation; Finger; Fracture; Proximal interphalangeal joint; Surgical fixation.

Publication types

Review

MeSH terms

Finger Injuries / therapy*
Finger Joint*
Fractures, Bone / therapy*
Humans
Joint Dislocations / therapy*
Range of Motion, Articular