The proximal interphalangeal joint: arthritis and deformity

Boutonnière Deformity Following Volar Proximal Interphalangeal Joint Dislocation

The stiff proximal interphalangeal joint

One of the major challenges, if not the major challenge, in the management of Dupuytren’s disease is correction of the proximal interphalangeal joint contracture and maintenance of this correction. In 1831 Dupuytren himself [1] recognized the difficulty in straightening the proximal interphalangeal joint. Despite this, much of the early literature focused on Dupuytren’s Disease in the palm [2]....

Fracture-dislocations of the proximal interphalangeal joint.

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-red...

Fractures of the proximal interphalangeal joint.

Fractures of the proximal interphalangeal joint constitute a broad spectrum of injuries. An understanding of the anatomy, the potential for joint instability, and the treatment options is essential to management of these fractures. Commonly observed fracture patterns involve one or both condyles of the proximal phalanx or the base of the middle phalanx. Fractures of the middle phalanx may invol...

Volar plate repair for posttraumatic hyperextension deformity of the proximal interphalangeal joint.

Traditionally, flexor digitorum superficialis tenodesis has been recommended for surgical correction of posttraumatic proximal interphalangeal (PIP) joint hyperextension deformity resulting from recurrent volar plate (VP) disruption. In contrast, VP repair has been used sparingly to restore joint stability, because of concerns regarding excessive scarring, insufficient substance, and the often ...