Dorsal fracture subluxation of the proximal interphalangeal joints treated by extension block splintage.
In a prospective study, 27 consecutive patients with dorsal fracture subluxation of the PIP joint were treated conservatively using an extension block splint, with good results in 70%. The percentage surface involved with the fracture varied considerably (19-77%) the average being 55%. Three patients initially managed with splintage proceeded to surgery because the splint failed to hold the joint in reduction. These patients had a less favourable outcome. We feel that all such fractures can be treated by splintage, provided that early reduction is maintained in the splint and checked by serial radiology.
Hamer
D W
DW
Leicester Royal Infirmary.
Quinton
D N
DN
D000328:Adult; D001265:Athletic Injuries / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D005383:Finger Injuries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D005384:Finger Joint / Q000000981:diagnostic imaging / Q000502:physiology; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011859:Radiography; D016059:Range of Motion, Articular; D013165:Splints; D016896:Treatment Outcome