Romo RR, Fernández VJM, Camacho GJ, Tarazona VP, Quinzaños FJ
Fracture dislocation of the proximal interphalangeal joint
Acta Ortop Mex 2010; 24 (4)

Language: Español
References: 41
Page: 252-259
PDF: 556.58 Kb.

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ABSTRACT

Introduction: the proximal interphalangeal (PIP) joint is the most commonly dislocated joint in the body and the hand. We did a review of the literature and report herein our experience treating this condition at the ABC Medical Center from 1991 to 2007. Material and methods: systematic review of the literature. Retrospective and descriptive study. Results: a total of 13 patients were included between 1991 and 2007. Three of them were managed with ORIF with Kirschner nails, 3 with OR and Kirschner nails blocking extension, 2 with plasty with volar plate interposition, and one with CRIF with a Kirschner nail. Mean follow-up was 4.8 months in 8 patients, the ranges of motion were recorded. The following factors were negatively correlated with the range of motion: age, time elapsed between the injury and the treatment, the combined approaches, and the pins blocking extension. Those treated with interposition arthroplasty had a better range of motion. Conclusion: the fracture dislocation of the PIP joint is a rare pathology with multiple treatments and variable outcomes that usually result in the limitation of flexion and extension.