The stiff proximal interphalangeal joint - an unsolved problem?

J Hand Surg Eur Vol. 2023 Mar;48(3):214-221. doi: 10.1177/17531934221143690. Epub 2023 Jan 13.


The proximal interphalangeal joint is critical for good hand function. Its anatomical complexities often predispose it to stiffness, involving damage to one or more structures. Improving or resolving the stiffness and increasing the range of motion require an accurate assessment and understanding of the pathogenesis. The surgical strategy can then be tailored accordingly. In some cases, restoration to pre-injury level may not be possible and this condition still represents an unsolved problem in hand surgery.Level of evidence: V.

Keywords: Joint contracture; arthrolysis; proximal interphalangeal joint; tenolysis.

Publication types

  • Review

MeSH terms

  • Fasciotomy
  • Finger Injuries* / surgery
  • Finger Joint / surgery
  • Humans
  • Orthopedic Procedures*
  • Range of Motion, Articular