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...

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Main Authors: Florian S. Frueh, MD, Philippe Vogel, MD, Philipp Honigmann, MD
Format: Article
Language:English
Published: Wolters Kluwer 2018-05-01
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.
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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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