In this study of 38 patients, we assessed the clinical result following surgical treatment of Dupuytren's disease with isolated fifth ray involvement, particularly with respect to the proximal interphalangeal joint. Three surgical techniques were used: limited fasciectomy, segmental fasciectomy and dermofasciectomy. At a mean follow-up time of 53.6 months, there were no residual deformities nor...

INTRODUCTION An understanding of abnormal finger motion depends on a basic knowledge of normal functional anatomy, which can be found in the contributions made by Eyler and Markee (! 954), Kaplan (! 953), Milford (! 968), Stack (! 962), Tubiana and Valeillin (1963). It is then possible to appreciate that the finger is a combination of two biarticular, bimuscular ~ystems: a proximal system consi...

We report a case of chronic dislocation of proximal interphalangeal joint with mallet finger.

We reviewed 13 patients with a complex fracture-dislocation of the proximal interphalangeal joint of a finger and one patient with a complex fracture-dislocation of the interphalangeal joint of thumb. We had treated these injuries using a pins and rubbers traction system which had been modified to avoid friction of the pins against the bone during mobilisation of the joint in order to minimise ...

A swan-neck or boutonniere deformity occurs in approximately half of patients with rheumatoid arthritis. The cause of boutonniere deformity is chronic synovitis of the proximal interphalangeal joint. Swan-neck deformity may be caused by synovitis of the metacarpophalangeal, proximal interphalangeal, or distal interphalangeal joints. Numerous procedures are available for the operative correction...

Complex fracture subluxations of the proximal interphalangeal joint are often difficult to treat and their outcome variable. A number of methods for treatment of these injuries have been described. We have used a ligamentotaxis device (Ligamentotaxor, Arex, Palaiseau Cedex, France) since 2008. We performed 28 operations in 28 patients with complex proximal interphalangeal joint injuries over a ...

Dorsal fracture dislocations of the proximal interphalangeal joint with or without subsequent instability require a careful initial clinical examination followed by appropriate operative or nonoperative treatment. Attention to detail is crucial in achieving a successful outcome, regardless of the treatment selected. This article outlines the various classification systems available for dorsal f...

Fractures of the proximal interphalangeal joint include a wide spectrum of injuries, from stable avulsion fractures to complex fracture-dislocations. Stability of the joint is paramount in determining the appropriate treatment, which should aim to facilitate early mobilisation and restoration of function.