Irreducible Dislocations of the Proximal Interphalangeal Joint: Algorithm for Open Reduction and Soft-tissue Repair
Summary:. The “jammed finger” is among the most common hand injuries and may include simple sprains, dislocations, fractures, and fracture-dislocations. In contrast, irreducible dislocations of the proximal interphalangeal joint are rare injuries. However, they must not be overlooked in the primary...
Main Authors: | , , |
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Format: | Article |
Language: | English |
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Wolters Kluwer
2018-05-01
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Series: | Plastic and Reconstructive Surgery, Global Open |
Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001729 |
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author | Florian S. Frueh, MD Philippe Vogel, MD Philipp Honigmann, MD |
author_facet | Florian S. Frueh, MD Philippe Vogel, MD Philipp Honigmann, MD |
author_sort | Florian S. Frueh, MD |
collection | DOAJ |
description | Summary:. The “jammed finger” is among the most common hand injuries and may include simple sprains, dislocations, fractures, and fracture-dislocations. In contrast, irreducible dislocations of the proximal interphalangeal joint are rare injuries. However, they must not be overlooked in the primary assessment, because persistent subluxation may lead to joint contracture, severely compromising hand function. Irreducible dislocations are challenging injuries with interposed soft tissues, preventing closed reduction. Thorough preoperative diagnosis and soft-tissue imaging guide the approach to open reduction and repair of injured periarticular structures. We introduce a systematic algorithm with considerations on classification and management of irreducible proximal interphalangeal joint dislocations. The algorithm is useful for the primary assessment and for hand surgeons responsible for open reduction and rehabilitation. |
first_indexed | 2024-12-16T18:51:59Z |
format | Article |
id | doaj.art-9252c2da39cd4cbbb5279e686c7c8b76 |
institution | Directory Open Access Journal |
issn | 2169-7574 |
language | English |
last_indexed | 2024-12-16T18:51:59Z |
publishDate | 2018-05-01 |
publisher | Wolters Kluwer |
record_format | Article |
series | Plastic and Reconstructive Surgery, Global Open |
spelling | doaj.art-9252c2da39cd4cbbb5279e686c7c8b762022-12-21T22:20:41ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742018-05-0165e172910.1097/GOX.0000000000001729201805000-00010Irreducible Dislocations of the Proximal Interphalangeal Joint: Algorithm for Open Reduction and Soft-tissue RepairFlorian S. Frueh, MD0Philippe Vogel, MD1Philipp Honigmann, MD2From *Hand Surgery, Kantonsspital Baselland, Liestal, Switzerland;†Department of Radiology, Kantonsspital Baselland, Liestal, Switzerland.From *Hand Surgery, Kantonsspital Baselland, Liestal, Switzerland;Summary:. The “jammed finger” is among the most common hand injuries and may include simple sprains, dislocations, fractures, and fracture-dislocations. In contrast, irreducible dislocations of the proximal interphalangeal joint are rare injuries. However, they must not be overlooked in the primary assessment, because persistent subluxation may lead to joint contracture, severely compromising hand function. Irreducible dislocations are challenging injuries with interposed soft tissues, preventing closed reduction. Thorough preoperative diagnosis and soft-tissue imaging guide the approach to open reduction and repair of injured periarticular structures. We introduce a systematic algorithm with considerations on classification and management of irreducible proximal interphalangeal joint dislocations. The algorithm is useful for the primary assessment and for hand surgeons responsible for open reduction and rehabilitation.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001729 |
spellingShingle | Florian S. Frueh, MD Philippe Vogel, MD Philipp Honigmann, MD Irreducible Dislocations of the Proximal Interphalangeal Joint: Algorithm for Open Reduction and Soft-tissue Repair Plastic and Reconstructive Surgery, Global Open |
title | Irreducible Dislocations of the Proximal Interphalangeal Joint: Algorithm for Open Reduction and Soft-tissue Repair |
title_full | Irreducible Dislocations of the Proximal Interphalangeal Joint: Algorithm for Open Reduction and Soft-tissue Repair |
title_fullStr | Irreducible Dislocations of the Proximal Interphalangeal Joint: Algorithm for Open Reduction and Soft-tissue Repair |
title_full_unstemmed | Irreducible Dislocations of the Proximal Interphalangeal Joint: Algorithm for Open Reduction and Soft-tissue Repair |
title_short | Irreducible Dislocations of the Proximal Interphalangeal Joint: Algorithm for Open Reduction and Soft-tissue Repair |
title_sort | irreducible dislocations of the proximal interphalangeal joint algorithm for open reduction and soft tissue repair |
url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001729 |
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