We systematically reviewed all the evidence published in the English language on proximal interphalangeal joint (PIPJ) replacement, to determine its effectiveness on the function of the hand and the associated post-operative complications. Original studies were selected if they reported clinical outcome with a minimum of one year's follow-up. Quality was assessed using the Cowley syst...

OBJECTIVE We report a case in which an avulsion-amputation of the thumb proximal to the lunula was repaired by reattaching the amputated segment as a composite graft. The graft demonstrated complete survival with only a minimal sacrifice in length. METHODS A 23-year-old man presented 4 hours after an avulsion injury of the thumb with associated distal and proximal phalanx fractures. The amput...

EXERCISE SPLINT FOR EFFECTIVE Casting the entire hand is not always necessary SINGLE-FINGER ACTIVE HOOK when treating isolated digital stiffness after injury, EXERCISES especially if the adjacent fingers have maintained full motion. Examples are flexor tendon repair, tenolysis, proximal interphalangeal (PIP) dislocaDebbie Ahearn, MA, OTRIL, CHT tion, proximal phalanx fractures, or other isolate...

Acute hand and wrist injuries in the athlete constitute a unique orthopaedic challenge. Because of the particular demands on the athlete (e.g., financial implications, coaching and administration pressures, self-esteem issues), a specialized management approach is often necessary. Common sites of injury include the ulnar collateral ligament of the thumb metacarpophalangeal joint, proximal inter...

A number of simple measurements can be used to quantitate the pain and inflammation of rheumatoid arthritis and to demonstrate the effects of treatment (Hart and Huskisson, 1971). Boardman and Hart (1967) introduced a method of testing the antiinflammatory properties of drugs by measurement of reduction in proximal interphalangeal joint swelling. Two newer methods are now available: technetium ...

The percutaneous release of accessory collateral ligaments was introduced in 1986 as a safe and quick procedure to be attempted before open, more extensive joint release in the treatment of proximal interphalangeal joint flexion contracture. Our study analyzed the long-term results and patient satisfaction following a percutaneous release in 30 joints after a mean follow-up period of 34 months....