title: Fracture-dislocations of the proximal interphalangeal joint.
abstract: Fracture-dislocations of the proximal interphalangeal joint encompass a spectrum of injury severity, ranging from injuries that require little intervention to those that require advanced reconstructive surgery for optimal outcome. Three fracture-dislocation patterns are recognized: dorsal, volar, and pilon. Acceptable outcome is dependent on achieving and maintaining a well-aligned and well-reduced joint, re-establishing normal joint kinematics, and restoring motion. Anatomic articular surface reduction is desirable but not absolutely necessary for a good outcome. Treatment depends on both the type of injury and patient-dependent factors. Optimal outcome for a specific injury is predicated on expedient diagnosis and recognition of injury severity, which enables initiation of appropriate management.
authors: Department of Orthopaedics and Rehabilitation, University of Rochester, NY, USA.
authors: John
authors: J
authors: Elfar
authors: Tobias
authors: T
authors: Mann
mesh_terms: D005383:Finger Injuries / Q000175:diagnosis / Q000601:surgery*; D005384:Finger Joint / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome
references: J Hand Surg Am. 1986 Sep;11(5):661-9
references: 3760491
references: J Bone Joint Surg Br. 2004 Apr;86(3):406-12
references: 15125130
references: J Hand Surg Am. 1992 Sep;17(5):896-901
references: 1401802
references: J Hand Surg Am. 2007 Oct;32(8):1242-50
references: 17923310
references: J Hand Surg Am. 2008 May-Jun;33(5):733-9
references: 18590857
references: J Hand Surg Am. 1999 Sep;24(5):914-23
references: 10509268
references: J Bone Joint Surg Br. 1986 Mar;68(2):229-31
references: 3958008
references: Hand Clin. 1988 Aug;4(3):503-27
references: 3170661
references: J Hand Surg Br. 2005 Oct;30(5):492-8
references: 15990207
references: J Hand Surg Am. 1980 May;5(3):260-8
references: 7400563
references: Hand Clin. 1994 May;10(2):169-78
references: 8040195
references: J Hand Surg Br. 2001 Dec;26(6):537-40
references: 11884107
references: J Hand Surg Am. 1995 Jul;20(4):565-73
references: 7594279
references: J Hand Surg Eur Vol. 2010 Oct;35(8):627-31
references: 20511322
references: J Bone Joint Surg Am. 1972 Dec;54(8):1705-11
references: 4653646
references: J Hand Surg Am. 2004 Jan;29(1):39-43
references: 14751101
references: Am J Sports Med. 2004 Sep;32(6):1440-50
references: 15310569
references: J Hand Surg Am. 1986 Nov;11(6):850-8
references: 3794242
references: Clin Orthop Relat Res. 1996 Jun;(327):29-37
references: 8641076
references: J Hand Surg Br. 1989 May;14(2):168-70
references: 2746116
references: Hand Clin. 1994 May;10(2):211-9
references: 8040199
references: J Hand Surg Am. 1991 Sep;16(5):844-50
references: 1940163
references: J Hand Surg Am. 1984 Jan;9A(1):39-48
references: 6693741
references: J Hand Surg Am. 2006 Oct;31(8):1349-54
references: 17027798
references: J Hand Surg Am. 2009 Jul-Aug;34(6):1140-7
references: 19643295
references: J Hand Surg Br. 2005 May;30(2):120-8
references: 15757762
references: J Hand Surg Am. 2012 Jan;37(1):28-33
references: 22018477
references: Arch Orthop Trauma Surg. 2001;121(1-2):121-2
references: 11195112
references: Clin Orthop Relat Res. 1987 Jan;(214):101-12
references: 3791731
references: J Hand Surg Am. 2003 Sep;28(5):856-65
references: 14507519
references: J Hand Surg Am. 1995 Mar;20(2):327-33
references: 7775779
references: J Hand Surg Am. 2008 Jan;33(1):19-25
references: 18261660
references: J Hand Surg Am. 2000 May;25(3):429-37
references: 10811746
references: J Hand Surg Am. 1980 Jan;5(1):79-88
references: 7365222
references: J Hand Surg Am. 2011 Sep;36(9):1453-9
references: 21820818
references: Acta Med Okayama. 1994 Oct;48(5):263-70
references: 7863798
references: Am J Sports Med. 2007 Apr;35(4):555-63
references: 17293465
references: J Hand Surg Am. 2009 Sep;34(7):1232-41
references: 19700071
references: J Bone Joint Surg Br. 1968 Aug;50(3):656-63
references: 5726917
references: J Hand Surg Am. 1998 Sep;23(5):811-20
references: 9763254