Management of proximal interphalangeal joint injuries.
Injuries about the PIP joint of the finger are commonly encountered by primary care physicians and are associated with significant morbidity, including pain, stiffness, instability, premature degenerative arthritis, and residual deformities. An accurate understanding of the regional anatomy and appreciation of the mechanism of injury allows for classification so that a treatment protocol can be formulated for each injury pattern. Emphasis on careful consideration of the implications of open reduction, rational splinting, and early, active, protected motion provides for the most favorable outcome.
Freiberg
Arnis
A
Department of Surgery, University of Toronto, The Toronto Hospital, Toronto, Ontario, Canada.
Pollard
Brian A
BA
Macdonald
Michael R
MR
Duncan
Mary Jean
MJ
D001696:Biomechanical Phenomena; D005383:Finger Injuries / Q000175:diagnosis / Q000628:therapy*; D005384:Finger Joint / Q000033:anatomy & histology / Q000502:physiology; D050723:Fractures, Bone / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000628:therapy